Individual
MR. JAYSON IPORAC CERIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
150A TICES LN, EAST BRUNSWICK, NJ 08816-2015
(732) 254-5553
Mailing address
124 ALDEN ST, WALLINGTON, NJ 07057-1434
(732) 299-0973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01094600
NJ
Other
Enumeration date
01/24/2007
Last updated
07/29/2019
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