Jason James Supernavage MSPT

NPI 1306992367 - Physical Therapist - 225100000X

NPI Details
NPI 1306992367
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
291 HARDING HWY
SUITE A
CARNEYS POINT NJ, 08069-2229, US
Phone (856) 299-9229
Fax (856) 299-9226
Business Location
54 MARYLAND AVE
PENNSVILLE NJ, 08070-1528, US
Phone (856) 678-8078
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number 40QA01075700
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According to our database, Mr. Jason James Supernavage MSPT NPI is 1306992367, taxonomy code is 225100000X and license number is 40QA01075700, license state is located at New Jersey. Jason James Supernavage MSPT physically located at 291 Harding Hwy, Carneys Point NJ, 08069-2229. NPI Number Jason James Supernavage MSPT has the Individual type.

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1306992367 NPI number is provided on an as is basis without warranty of any kind. 1306992367 is maintained by the National Plan & Provider Enumeration System. The contents of Jason James Supernavage MSPT are for informational purposes only.