Individual
JAKE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S TRIANGLE RD, HILLSBOROUGH, NJ 08844-4846
(908) 874-8638
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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