Individual
JESSICA DONNA KORPUSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
340 SCOTCH RD, EWING, NJ 08628-1300
(609) 924-8131
Mailing address
131 HOOVER AVE, LAWRENCEVILLE, NJ 08648-3729
(609) 743-3035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00315300
NJ
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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