Individual
JACOB CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 HEADQUARTERS PLZ LOWR LOBBY, MORRISTOWN, NJ 07960-3963
(973) 947-8876
Mailing address
34 SPARROW RD, RANDOLPH, NJ 07869-2129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02205100
NJ
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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