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Jesse Phalanukorn
NPI 1407455199 · on the registry since 2020
Practice
- Address
- 489 Brick Blvd
Brick, NJ 08723 - Phone
- (732) 895-7283
- Organisation at this address
- Staats Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey