Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Kuhn Provenzano, MOT

Individual provider Occupational Therapist · NPI 1104499433

Jacquelyn Kuhn Provenzano, MOT is an Occupational Therapist in East Brunswick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

579 Cranbury Rd Ste C
East Brunswick, NJ 08816-5405
Phone: (732) 432-0733
Fax: (732) 432-9131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00610600 (NJ)

Record details

NPI number1104499433
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorNo
NPI enumeratedJuly 23, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021

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