Individual
MISS JACLYN DANIELLE GIANGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
160 FRANKLIN AVE, NUTLEY, NJ 07110-3075
(973) 667-0429
Mailing address
330 JORALEMON ST, BELLEVILLE, NJ 07109-2167
(973) 517-1010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01749600
NJ
Other
Enumeration date
08/20/2017
Last updated
08/20/2017
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