Individual
TESSA JOUGHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 DEMOTT LN, SOMERSET, NJ 08873-2762
(732) 873-2000
Mailing address
40 BROOKSIDE AVE, APT 4B, SOMERVILLE, NJ 08876-5610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00305200
NJ
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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