Individual
JESSICA NICOLE D'ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
728 BENNETTS MILLS RD, JACKSON, NJ 08527-3850
(732) 415-1401
(732) 415-1403
Mailing address
5 SWALLOW TAIL CT, JACKSON, NJ 08527-2872
(732) 832-1936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01945200
NJ
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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