Individual
JACQUELINE M. SEVERINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MA
Contact information
Practice address
2625 MORRIS AVE, UNION, NJ 07083-5606
(908) 686-0840
(732) 855-9755
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(973) 855-9751
(973) 855-9755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00638300
NJ
Other
Enumeration date
07/04/2006
Last updated
02/25/2020
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