Individual
JASON MOLLENTHIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 WESTMINSTER AVE, ELIZABETH, NJ 07208-2202
(908) 558-9500
Mailing address
26 PERRY AVE, STATEN ISLAND, NY 10314-4002
(917) 209-9499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01984500
NJ
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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