Healthcare Provider Details

I. General information

NPI: 1821521121
Provider Name (Legal Business Name): JENNIFER LEIGH RANA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 5TH AVE
HASKELL NJ
07420-1075
US

IV. Provider business mailing address

109 ROCK LEDGE TER
HALEDON NJ
07508-1000
US

V. Phone/Fax

Practice location:
  • Phone: 201-417-8819
  • Fax:
Mailing address:
  • Phone: 201-417-8819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01130800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: