Individual
MS. EILEEN ENRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7 SANFORD AVE, BELLEVILLE, NJ 07109-1221
(973) 751-0200
Mailing address
15 CHURCH TWRS APT 8K, HOBOKEN, NJ 07030-2753
(201) 795-1799
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00144200
NJ
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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