Individual
JAKE ALEXANDER SQUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
795 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1368
(201) 474-3341
Mailing address
795 FRANKLIN AVE, FRANKLIN LAKES, NJ 07417-1368
(201) 474-3341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02384400
NJ
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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