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Individual
MS. JENNIFER K SOARES
Active
Individual
MS. JENNIFER K SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CHT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
QA00873100
NJ
Other
Enumeration date
12/04/2006
Last updated
11/26/2012
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