Individual
DR. JENNIFER LYNNE COVIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10 NORTH N VILLAGE BLVD, SUITE D, SPARTA, NJ 07871
(862) 299-3300
Mailing address
5 WALLACE RD, SUMMIT, NJ 07901-1610
(908) 418-8843
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01940000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01940000
NJ STATE PHYSICAL THERAPY LICENSE
NJ
Enumeration date
09/17/2020
Last updated
09/17/2020
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