Individual
MR. JEFFREY JOSEPH PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
798 ROUTE 539 STE 2, LITTLE EGG HARBOR TWP, NJ 08087-4203
(609) 294-4720
Mailing address
PO BOX 1500, TUCKERTON, NJ 08087-5500
(609) 294-1484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QB00043300
NJ
Other
Enumeration date
02/24/2006
Last updated
03/21/2008
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