Individual
CHRISTOPHER D JACQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
34 MOUNTAIN BLVD, BUILDING C, WARREN, NJ 07059-2640
(908) 222-0515
(908) 222-0516
Mailing address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
(973) 669-1113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01370700
NJ
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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