Individual
JUSTIN DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2690 KINGSTON RD STE 102, EASTON, PA 18045-8001
(908) 454-2431
Mailing address
2690 KINGSTON RD STE 102, EASTON, PA 18045-8001
(908) 454-2431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004675
PA
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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