Individual
JENNIFER GAE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
402 MAXWELL DR, STEWARTSVILLE, NJ 08886-3248
(908) 763-0894
Mailing address
402 MAXWELL DR, STEWARTSVILLE, NJ 08886-3248
(908) 763-0894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00584400
NJ
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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