Karen Jacklyn Acquaviva PTA

NPI 1184825622 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1184825622
Gender Female
Enumeration Date 05/31/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7 ALASKA AVE
JACKSON NJ, 08527-1801, US
Phone (732) 233-4876
Fax
Business Location
7 ALASKA AVE
JACKSON NJ, 08527-1801, US
Phone (732) 233-4876
Fax
Toxanomy
Taxonomy Code 225200000X
License State New Jersey
License Number 40QB00167700
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According to our database, Miss Karen Jacklyn Acquaviva PTA NPI is 1184825622, taxonomy code is 225200000X and license number is 40QB00167700, license state is located at New Jersey. Karen Jacklyn Acquaviva PTA physically located at 7 Alaska Ave, Jackson NJ, 08527-1801. NPI Number Karen Jacklyn Acquaviva PTA has the Individual type.

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1184825622 NPI number is provided on an as is basis without warranty of any kind. 1184825622 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Jacklyn Acquaviva PTA are for informational purposes only.