Individual
AUSTIN JENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
150 TICES LN, EAST BRUNSWICK, NJ 08816-2015
(877) 532-7837
Mailing address
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003-3066
(877) 532-7837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02111400
NJ
Other
Enumeration date
08/22/2022
Last updated
03/13/2025
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