Individual
JACELINE D DEJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
445 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2919
(862) 520-4027
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
(732) 855-9755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02126700
NJ
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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