Individual
JESSICA MULHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 N WOODSIDE AVE, LODI, NJ 07644-3428
(201) 675-7078
Mailing address
16 N WOODSIDE AVE, LODI, NJ 07644-3428
(201) 675-7078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01535400
NJ
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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