| Doctor Name: | MR. JAYSON IPORAC CERIBO |
| NPI Number: | 1841345329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 40QA01094600 |
| Business Practice Address: | 150a Tices Ln East Brunswick, NJ - 088162015 |
| Business Phone Number: | 7322545553 |
| Business Fax Number: | |
| Mailing Address: | 150a Tices Ln, EAST BRUNSWICK |
| State: | NJ |
| Postal Code: | 088162015 |
| Phone Number: | 7322545553 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01094600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |