Individual
JESSICA TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 MULFORD RD, LAFAYETTE, NJ 07848-3612
(862) 268-5800
Mailing address
23204 WATERS VIEW CIR, COHOES, NY 12047-5249
(862) 268-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042903-1
NY
225100000X
Physical Therapist
22701
MA
225100000X
Physical Therapist
40QA01686900
NJ
Other
Enumeration date
09/06/2016
Last updated
01/25/2021
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