Individual
MRS. JENNIFER VISTA PAUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
14 ROUTE 520, SUITE C, ENGLISHTOWN, NJ 07726-8217
(732) 972-5565
(732) 972-5562
Mailing address
4 FRIAR LN, MANALAPAN, NJ 07726-2612
(732) 972-2686
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA0949900
NJ
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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