Individual
MS. JENNIFER RAE-ANN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
240 CEDAR KNOLLS RD, CEDAR KNOLLS, NJ 07927-1621
(973) 998-8100
(973) 998-8099
Mailing address
11 EAGLE ROCK AVE, EAST HANOVER, NJ 07936-3167
(973) 887-9000
(973) 887-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01571000
NJ
225100000X
Physical Therapist
PT2755
AR
2251S0007X
Sports Physical Therapist
PT2755
AR
2251X0800X
Orthopedic Physical Therapist
PT2755
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154984721
—
AR
Enumeration date
04/20/2006
Last updated
03/28/2023
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