JASON JAMES SUPERNAVAGE

CARNEYS POINT, NJ
NPI1306992367
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01075700)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
Mr. JASON JAMES SUPERNAVAGE MSPT
291 HARDING HWY SUITE A
CARNEYS POINT, NJ 08069-2229
Phone number: 856-299-9229
Mailing Address
Mr. JASON JAMES SUPERNAVAGE MSPT
54 MARYLAND AVE
PENNSVILLE, NJ 08070-1528
Phone number: 856-678-8078
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