Individual
JENNIFER JENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3722
Mailing address
2328 EDGEWOOD TER, SCOTCH PLAINS, NJ 07076-2107
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA01024700
NJ
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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