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1134884950
JEANINE-MARIE GERVASIO
WEST ORANGE, NJ
NPI
1134884950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NJ PT40QA00692900)
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
JEANINE-MARIE GERVASIO PT
623 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2948
Phone number: 201-455-3144
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Mailing Address
JEANINE-MARIE GERVASIO PT
9 ALBERT AVE
MORRISTOWN, NJ 07960-6506
Phone number: 973-207-1009
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