Individual
JEANNA VIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 OVERLOOK DR, MOUNT LAUREL, NJ 08054-6108
(609) 622-0067
Mailing address
1 OVERLOOK DR, MONROE TWP, NJ 08831-5732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00623500
NJ
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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