Individual provider · Type 1 NPI
Jacqueline Mazzone
Pediatric Physical Therapist · Nutley, NJ
Practice location
29 Edison Ave
Nutley, NJ 07110-1008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 40QA01656200 (NJ) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1760338255
Jacqueline Mazzone's National Provider Identifier is 1760338255, issued on Mar 6, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Nutley, NJ. The record was last updated on Mar 6, 2026.