Provider Demographics
NPI:1003364324
Name:ENO, JESSICA (OTR)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:ENO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LINKS WAY
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3742
Mailing Address - Country:US
Mailing Address - Phone:609-781-3406
Mailing Address - Fax:
Practice Address - Street 1:15 LINKS WAY
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3742
Practice Address - Country:US
Practice Address - Phone:609-781-3406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist