Individual
ELIZABETH WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
31 MONTGOMERY ST, STE 4, JERSEY CITY, NJ 07302-3869
(201) 721-6130
(201) 918-6864
Mailing address
31 MONTGOMERY ST, STE 4, JERSEY CITY, NJ 07302-3869
(201) 721-6130
(201) 918-6864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00336900
NJ
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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