Provider Demographics
NPI:1295494847
Name:JASLOW, RACHEL (ATR-BC, ATCS, LPAT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:JASLOW
Suffix:
Gender:F
Credentials:ATR-BC, ATCS, LPAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 HICKORY PL
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3638
Mailing Address - Country:US
Mailing Address - Phone:201-788-7538
Mailing Address - Fax:
Practice Address - Street 1:301 S LIVINGSTON AVE STE 202
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3929
Practice Address - Country:US
Practice Address - Phone:201-788-7538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ16LP00012900OtherLPAT