Individual
MRS. JENNIFER LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14 PARKE PLACE BLVD, SUITE D, SEWELL, NJ 08080-2661
(856) 256-8393
(856) 256-8390
Mailing address
14 PARKE PLACE BLVD, SUITE D, SEWELL, NJ 08080-2661
(856) 256-8393
(856) 256-8390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00800000
NJ
Other
Enumeration date
07/10/2007
Last updated
05/17/2016
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