Individual
DR. JENNA MARIE DELVESCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(197) 341-4475
Mailing address
198 FOREST ST UNIT 2, MONTCLAIR, NJ 07042-3906
(609) 742-0104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02096500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA02096500
PHYSICAL THERAPIST
NJ
Enumeration date
06/21/2022
Last updated
06/21/2022
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