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Organization
JARED C MANNELLO LLC
Active
Organization
JARED C MANNELLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED C MANNELLO PT DPT OCS (SOLE MEMBER)
(856) 423-7700
Entity
Organization
Contact information
Practice address
450 BAY AVE STE 3, SOMERS POINT, NJ 08244-2656
(609) 350-6680
Mailing address
23 N DELSEA DR UNIT B, CLAYTON, NJ 08312-1637
(856) 423-7000
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
07/30/2024
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