Basic Information
| Provider Information | |||||||||
| NPI: | 1235179458 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NORTON | ||||||||
| FirstName: | JEFFREY | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2123 HIGHWAY 35 | ||||||||
| Address2: | |||||||||
| City: | SEA GIRT | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087501003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324492001 | ||||||||
| FaxNumber: | 7324492238 | ||||||||
| Practice Location | |||||||||
| Address1: | 2123 HIGHWAY 35 | ||||||||
| Address2: | |||||||||
| City: | SEA GIRT | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087501003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324492001 | ||||||||
| FaxNumber: | 7324492238 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA00851800 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.