Individual
LISA M AMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
175 BARTLEY RD, JACKSON, NJ 08527-1241
(732) 766-9403
Mailing address
34 INDEPENDENCE CT, JACKSON, NJ 08527-2236
(732) 766-9403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00143600
NJ
Other
Enumeration date
11/13/2006
Last updated
11/05/2014
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