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Individual
JEREMY ZASOWSKI
Active
Individual
JEREMY ZASOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01163400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01163400
NJ LICENSE NUMBER
NJ
Enumeration date
08/07/2006
Last updated
07/08/2007
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