Individual
ELIZABETH DIMAANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CREFELD CT, LINCOLN PARK, NJ 07035-1242
(862) 684-5229
Mailing address
11 CREFELD CT, LINCOLN PARK, NJ 07035-1242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01271200
NJ
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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