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Jeanine-marie Gervasio, PT
Pediatric Physical Therapist in West Orange, New Jersey
NPI 1134884950

Jeanine-marie Gervasio is a Pediatric Physical Therapist based in Morristown, NJ and is specialized in Pediatrics. Jeanine-marie Gervasio practices in West Orange, NJ and has the professional credentials of PT. The NPI Number for Jeanine-marie Gervasio is 1134884950 and holds a License No. PT40QA00692900 (New Jersey).

The current practice location address for Jeanine-marie Gervasio is 623 Eagle Rock Ave, West Orange, NJ and can be reached out via phone at 201-455-3144.

Location: 623 Eagle Rock Ave, West Orange, NJ, 07960-6506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134884950
Provider Name
Jeanine-marie Gervasio
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
623 Eagle Rock Ave, West Orange, NJ, 07960-6506
Phone Number
201-455-3144
Fax Number
Provider Enumeration Date
11/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
623 Eagle Rock Ave
City
West Orange
State
New Jersey
Zip
07052-2948
Phone Number
201-455-3144
Fax Number
person
Provider Business Mailing Address Details
Address
623 Eagle Rock Ave
City
West Orange
State
New Jersey
Zip
07052-2948
Phone Number
201-455-3144
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT40QA00692900 (New Jersey)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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