Provider Demographics
NPI:1114267820
Name:PULHIN, JESSICA JOANNA QUISUMBING (OTRP, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA JOANNA
Middle Name:QUISUMBING
Last Name:PULHIN
Suffix:
Gender:F
Credentials:OTRP, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S LINCOLN AVE
Mailing Address - Street 2:APT. 503
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-6660
Mailing Address - Country:US
Mailing Address - Phone:732-589-8418
Mailing Address - Fax:
Practice Address - Street 1:1676 E LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-2943
Practice Address - Country:US
Practice Address - Phone:856-696-6000
Practice Address - Fax:856-696-6056
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00606100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist