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Individual

JAKE CREAGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
150 N MIDLAND AVE, SADDLE BROOK, NJ 07663-5926
(201) 712-5533
(201) 712-5551
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02025600
NJ

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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