Individual
JENNA STUEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11 DOROTOCKEYS LN, OLD TAPPAN, NJ 07675-7344
(201) 206-3196
Mailing address
11 DOROTOCKEYS LN, OLD TAPPAN, NJ 07675-7344
(201) 206-3196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22140
MA
225100000X
Physical Therapist
40QA01435900
NJ
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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