Theresa Anne Sierra PTA

NPI 1255610861 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1255610861
Gender Female
Enumeration Date 08/12/2011
Last Updated 08/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
485 RIVER AVE
LAKEWOOD NJ, 08701-4720, US
Phone (732) 364-7100
Fax (732) 364-4720
Business Location
1940 COMMERCE ST STE 210
YORKTOWN HEIGHTS NY, 10598-4448, US
Phone (914) 420-3132
Fax
Toxanomy
Taxonomy Code 225200000X
License State New Jersey
License Number 40QB002322
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According to our database, Mrs. Theresa Anne Sierra PTA NPI is 1255610861, taxonomy code is 225200000X and license number is 40QB002322, license state is located at New Jersey. Theresa Anne Sierra PTA physically located at 485 River Ave, Lakewood NJ, 08701-4720. NPI Number Theresa Anne Sierra PTA has the Individual type.

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1255610861 NPI number is provided on an as is basis without warranty of any kind. 1255610861 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Anne Sierra PTA are for informational purposes only.