Individual
JESSICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07940
(973) 404-9700
Mailing address
20 BEACON RD, SUMMIT, NJ 07901-2904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01585700
NJ
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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