Individual
LISA DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 CEDAR CREST DR, POMPTON PLAINS, NJ 07444-2161
(973) 831-3672
Mailing address
4 CEDAR CREST DR, POMPTON PLAINS, NJ 07444-2161
(973) 831-3672
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00046100
NJ
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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