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Risa Fireworker, OTR/L
Specialist in Jackson, New Jersey
NPI 1831876325

Risa Fireworker is a Specialist based in Jackson, NJ. Risa Fireworker practices in Jackson, NJ and has the professional credentials of OTR/L. The NPI Number for Risa Fireworker is 1831876325 and holds a License No. 46TR01125000 (New Jersey).

The current practice location address for Risa Fireworker is 12 Buckingham Dr, Jackson, NJ and can be reached out via phone at 845-825-4191.

Location: 12 Buckingham Dr, Jackson, NJ, 08527-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831876325
Provider Name
Risa Fireworker
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
12 Buckingham Dr, Jackson, NJ, 08527-2605
Phone Number
845-825-4191
Fax Number
Provider Enumeration Date
06/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12 Buckingham Dr
City
Jackson
State
New Jersey
Zip
08527-2605
Phone Number
845-825-4191
Fax Number
person
Provider Business Mailing Address Details
Address
12 Buckingham Dr
City
Jackson
State
New Jersey
Zip
08527-2605
Phone Number
845-825-4191
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
46TR01125000 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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