Individual
DANA TISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SUNSET RD, BURLINGTON, NJ 08016-4153
(609) 387-3620
Mailing address
115 SUNSET RD, BURLINGTON, NJ 08016-4153
(609) 387-3620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00632200
NJ
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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