Lisa Eleanor Servatius P.T.A.

NPI 1194937599 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1194937599
Gender Female
Enumeration Date 05/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
MAPLEWOOD NJ, 07040-2491, US
Phone (973) 313-2104
Fax (973) 762-6207
Business Location
WEST ORANGE NJ, 07052-2605, US
Phone (973) 325-3219
Fax (973) 762-6207
Taxonomy Code 225200000X
License State New Jersey
License Number QB00080500
Remove 1194937599 NPI Number

According to our database, Mrs. Lisa Eleanor Servatius P.T.A. NPI is 1194937599, taxonomy code is 225200000X and license number is QB00080500, license state is located at New Jersey. Lisa Eleanor Servatius P.T.A. physically located at 333 Elmwood Ave, Maplewood NJ, 07040-2491. NPI Number Lisa Eleanor Servatius P.T.A. has the Individual type.

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1194937599 NPI number is provided on an as is basis without warranty of any kind. 1194937599 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Eleanor Servatius P.T.A. are for informational purposes only.