Provider Demographics
NPI:1831306828
Name:THONSON, JEANETTE CURTIS (PTA)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:CURTIS
Last Name:THONSON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 NEW RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1179
Mailing Address - Country:US
Mailing Address - Phone:609-645-8282
Mailing Address - Fax:609-645-8182
Practice Address - Street 1:1418 NEW RD
Practice Address - Street 2:SUITE 2
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1179
Practice Address - Country:US
Practice Address - Phone:609-645-8282
Practice Address - Fax:609-645-8182
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QB00205400225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant