| Jag-one Physical Therapy, Llc | |
|
34 Mountain Blvd Bldg C Warren NJ 07059-2640 | |
| (908) 222-0515 | |
| (908) 222-0516 |
| Full Name | Jag-one Physical Therapy, Llc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 34 Mountain Blvd Bldg C, Warren, New Jersey |
| Authorized Official Name and Position | Luann M Teetsell (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7188445350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag-one Physical Therapy, Llc 900 Route 9 N Woodbridge NJ 07095-1025 Ph: (201) 801-7141 | Jag-one Physical Therapy, Llc 34 Mountain Blvd Bldg C Warren NJ 07059-2640 Ph: (908) 222-0515 |
| NPI Number | 1477024941 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 08/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477024941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
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