Individual
JEREMY ZASOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
114 S 2ND ST, PHILLIPSBURG, NJ 08865-1806
(908) 454-2404
Mailing address
114 S 2ND ST, PHILLIPSBURG, NJ 08865-1806
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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