Individual
JANE SO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
499 PINE BROOK RD, LINCOLN PARK, NJ 07035-1804
(973) 696-3300
Mailing address
100 BEECHWOOD DR, WAYNE, NJ 07470-5612
(443) 813-8366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01280700
NJ
Other
Enumeration date
05/10/2008
Last updated
03/04/2020
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