Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA01525800 | NJ |
N | 225100000X | Physical Therapist | 62033624 | NY |
N | 225100000X | Physical Therapist | PT871051 | DC |
N | 2251P0200X | Physical Therapist - Pediatrics | 40QA01525800 | NJ |
N | 2251P0200X | Physical Therapist - Pediatrics | 62033624 | NY |
NPI | 1053648006 |
---|---|
Provider Name | Jennifer James Norton |
First Address | West Orange, NJ 07052 |
Second Address | West Orange, NJ 07052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2009 |
Last Update Date | 17/04/2018 |