Individual
JENNIFER SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 US HIGHWAY 22, SUITE #2, BRIDGEWATER, NJ 08807-2943
(908) 722-9393
Mailing address
428 FAIRVIEW AVE, MIDDLESEX, NJ 08846-1834
(732) 560-1159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00847900
LICENSE #
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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