Individual
JEREMY NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 LACEY RD, FORKED RIVER, NJ 08731-1364
(609) 242-6780
(609) 242-6783
Mailing address
4175 VETERANS MEMORIAL HWY, STE 202, RONKONKOMA, NY 11779-7639
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01559800
NJ
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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