Individual
YEVGENIA RAIZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
(732) 876-4967
Mailing address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
(732) 876-4967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00358100
NJ
Other
Enumeration date
04/11/2021
Last updated
04/11/2021
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