Provider Demographics
NPI:1851045330
Name:PALERMO, JESSICA (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:PALERMO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 EAST ST
Mailing Address - Street 2:
Mailing Address - City:GARWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07027-1420
Mailing Address - Country:US
Mailing Address - Phone:908-472-1433
Mailing Address - Fax:
Practice Address - Street 1:84 ELM ST STE E
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2181
Practice Address - Country:US
Practice Address - Phone:908-644-8213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01743300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist