Individual
JESSICA SARA JACKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3 INDUSTRIAL WAY E, EATONTOWN, NJ 07724-3318
(732) 544-1557
Mailing address
277 DEMOREST AVE, AVENEL, NJ 07001-1106
(732) 343-5591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02047800
NJ
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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