Provider Demographics
NPI:1760652010
Name:SEMON, JOLI ANNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOLI
Middle Name:ANNE
Last Name:SEMON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3799
Mailing Address - Country:US
Mailing Address - Phone:908-812-1530
Mailing Address - Fax:
Practice Address - Street 1:505 WOODHAVEN DR
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3799
Practice Address - Country:US
Practice Address - Phone:908-812-1530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01087700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist