Individual
MR. STEPHEN GERARD JELINEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1165 EASTON AVE, SOMERSET, NJ 08873-1613
(732) 246-4100
Mailing address
1428 SOUTH AVE APT 1J, PLAINFIELD, NJ 07062-1928
(908) 514-9372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00272200
NJ
Other
Enumeration date
05/20/2017
Last updated
05/20/2017
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