Individual
JEREMY PASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1215 WYCKOFF RD, WALL TOWNSHIP, NJ 07727
(732) 740-5384
Mailing address
122 WELLINGTON CT, MANALAPAN, NJ 07726-3217
(732) 740-5384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01688000
NJ
Other
Enumeration date
08/30/2016
Last updated
08/27/2019
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