Individual
MRS. JEANNE ROSE O MAGANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
278 FOREST ST, BELLEVILLE, NJ 07109-2357
(973) 580-9136
Mailing address
278 FOREST ST, BELLEVILLE, NJ 07109-2357
(973) 580-9136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024238
NY
Other
Enumeration date
03/29/2011
Last updated
08/05/2020
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