Individual
MS. JEMIMA CO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75 MONTGOMERY ST, SUITE 603, JERSEY CITY, NJ 07302-3726
(201) 433-1955
Mailing address
75 MONTGOMERY ST, SUITE 603, JERSEY CITY, NJ 07302-3726
(201) 433-1955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA01077000
NJ
Other
Enumeration date
04/12/2007
Last updated
09/05/2008
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