Individual
JILLIAN WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
177 VALLEY ST, SOUTH ORANGE, NJ 07079-2836
(973) 761-0077
Mailing address
3A BERTAM AVENUE, SOUTH AMBOY, NJ 08879
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00408200
NJ
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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