Individual
JESSICA THERLONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6050
Mailing address
600 LINCOLN AVE, ORANGE, NJ 07050-2016
(973) 752-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01530100
NJ
Other
Enumeration date
12/30/2013
Last updated
08/18/2025
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