Individual
MISS JESSICA ERIN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1 VETERANS WAY, PARAMUS, NJ 07652-4100
(201) 634-8246
(201) 599-0390
Mailing address
300 GRAND ST, APT 428, HOBOKEN, NJ 07030-2788
(610) 393-6527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01235900
NJ
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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