Individual
APRIL DOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
460 HADDON AVE, COLLINGSWOOD, NJ 08108-1336
(856) 854-4331
Mailing address
2222 SULLIVAN TRAIL, EASTON, PA 18040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00228800
NJ
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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