Individual
JENNA MARIE TAMBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
212 STATE RT 94 UNIT 2G2H, VERNON, NJ 07462-3328
(973) 209-0086
Mailing address
23 SANDRA LN, SPARTA, NJ 07871-2846
(862) 266-6594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01830500
NJ
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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