Individual
JAKE KOCOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(908) 688-0838
(908) 654-4258
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02042300
NJ
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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