Provider Demographics
NPI:1609036185
Name:SIMMONS, JAUNLETTE NATREEN (MS, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:JAUNLETTE
Middle Name:NATREEN
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 MILLENIUM DR
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1047
Mailing Address - Country:US
Mailing Address - Phone:609-321-3667
Mailing Address - Fax:
Practice Address - Street 1:2305 MILLENIUM DR
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1047
Practice Address - Country:US
Practice Address - Phone:609-321-3667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00396500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist