Gonzalez, Jaclyn Anne

Gonzalez, Jaclyn Anne is an individual health care provider with primary practice located at 85 Godwin Ave , Midland Park NJ 07432-1970. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gonzalez, Jaclyn Anne can be contacted via phone (201) 639-8870.

Contact Information

Primary practice address
85 Godwin Ave Midland Park NJ 07432-1970
Phone: (201) 639-8870
Fax: (201) 639-8874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00970800 New Jersey

Profile Details

NPI number 1083222335
LBN Legal business name Gonzalez, Jaclyn Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2020
Last updated Jul 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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