Provider Demographics
NPI:1922494053
Name:MENDEZ, JOMAYRA M (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:JOMAYRA
Middle Name:M
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 MAIN ST STE 8
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-3089
Mailing Address - Country:US
Mailing Address - Phone:609-388-4782
Mailing Address - Fax:609-388-5193
Practice Address - Street 1:737 MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-3089
Practice Address - Country:US
Practice Address - Phone:609-388-4782
Practice Address - Fax:609-388-5193
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00693700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist