Individual
DIANE LEE ANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
145 STATE PARK ROAD, HOPE, NJ 07844
(908) 459-4128
Mailing address
547 WATTERS RD, HACKETTSTOWN, NJ 07840-5701
(908) 887-1754
(908) 333-6262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA007269
NJ
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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