Healthcare Provider Details

I. General information

NPI: 1407924186
Provider Name (Legal Business Name): JZV CENTER FOR REHABILITATION OF THE UPPER EXTREMITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1373 BROAD ST SUITE 302
CLIFTON NJ
07013-4200
US

IV. Provider business mailing address

1373 BROAD ST SUITE 302
CLIFTON NJ
07013-4200
US

V. Phone/Fax

Practice location:
  • Phone: 973-773-4263
  • Fax: 973-773-4336
Mailing address:
  • Phone: 973-773-4263
  • Fax: 973-773-4336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JILL I ZORN VELDER
Title or Position: OWNER DIRECTOR
Credential: MA OTR CHT
Phone: 973-773-4263