Provider Demographics
NPI:1326585357
Name:DRASS, JESSICA (ATR-BC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:DRASS
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 PAVONIA CIR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-5914
Mailing Address - Country:US
Mailing Address - Phone:609-213-0699
Mailing Address - Fax:
Practice Address - Street 1:1001 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08107-1065
Practice Address - Country:US
Practice Address - Phone:609-213-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-29
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist