Individual
JESSIE PERITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 PATTERSON AVE, SHREWSBURY, NJ 07702-4176
(732) 842-6600
Mailing address
166 PATTERSON AVE, SHREWSBURY, NJ 07702-4176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00711700
NJ
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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