Provider Demographics
NPI:1306121066
Name:SOLTYS, JESSICA C (PT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:C
Last Name:SOLTYS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 CHRIS GAUPP DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205
Mailing Address - Country:US
Mailing Address - Phone:609-652-3774
Mailing Address - Fax:609-652-3776
Practice Address - Street 1:408 CHRIS GAUPP DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GALLAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205
Practice Address - Country:US
Practice Address - Phone:609-652-3774
Practice Address - Fax:609-652-3776
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00981500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist