Individual
JANE PERENA-FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 GREENBROOK RD, NORTH PLAINFIELD, NJ 07060-4560
(908) 755-2111
Mailing address
749 N BROAD ST APT 305, ELIZABETH, NJ 07208-2411
(908) 764-9603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00944700
NJ
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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