JAKE GROOTENBOER

PARAMUS, NJ
NPI1275201394
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA02030000)
Enumeration Date2021-09-02
Last Update Date2024-08-15
Business Address
JAKE GROOTENBOER P.T.
776 N RTE 17
PARAMUS, NJ 07652-3117
Phone number: 201-225-9222
Mailing Address
JAKE GROOTENBOER P.T.
331 NEWMAN SPRINGS RD STE 220
RED BANK, NJ 07701-5792
Phone number: 732-807-0877
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