Individual
ADRIENNE LOUISE SUYDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
108 SUSSEX ST APT 13, JERSEY CITY, NJ 07302-4459
(973) 903-3787
Mailing address
108 SUSSEX ST APT 13, JERSEY CITY, NJ 07302-4459
(973) 903-3787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01302500
NJ
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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