Most Relevant Information
Provider Data
| NPI Number: | 1003182932 |
| Provider Name: | JAMIE L DESENA DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 40QA01437400 |
Most Important Dates
| Enumeration Date: | 03/26/2012 |
| Last Updated: | 01/12/2018 |
Provider Practice Location
13A MAIN ST
SUITE 4
SPARTA
NJ
078711941
Practice Location Phone/Fax
| Phone: | 9737267400 |
| Fax: | 9737267440 |
Provider Mailing Location
11 EAGLE ROCK AVE
STE 201
EAST HANOVER
NJ
079363167
Provider Mailing Phone/Fax
| Phone: | 9737267400 |
| Fax: | 9737267440 |