Mrs. Martha Vanessa Jackman-Bivas
Occupational Therapist
111-115 Gates Ave
Montclair
, New Jersey 07042-2500
Mrs. Martha Vanessa Jackman-Bivas
Occupational Therapist
111-115 Gates Ave
Montclair
, New Jersey 07042-2500
(800) 530-3247
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mrs. Martha Vanessa Jackman-Bivas
- 8 Charles St 1
- Montclair, NJ
- Zip : 07042-2406
- Phone : (800) 530-3247
Second Address
- Mrs. Martha Vanessa Jackman-Bivas
- 111-115 Gates Ave
- Montclair, NJ
- Zip : 07042-2500
- Phone : (973) 746-4616
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 46TR00291700 | NJ |
National Provider Identifier
| NPI | 1992996995 |
|---|---|
| Provider Name | Mrs. Martha Vanessa Jackman-Bivas |
| First Address | Montclair, NJ 07042-2406 |
| Second Address | Montclair, NJ 07042-2500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2007 |
| Last Update Date | 05/08/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.