Individual
JARED CHARLES MANNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
450 BAY AVE STE 3, SOMERS POINT, NJ 08244-2656
(609) 350-6680
Mailing address
23 N DELSEA DR UNIT B, CLAYTON, NJ 08312-1637
(856) 423-7000
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01314800
NJ
Other
Enumeration date
07/02/2012
Last updated
07/30/2024
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