Individual
SHANNON MOTISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3600
Mailing address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
40QA01387200
NJ
Other
Enumeration date
02/03/2014
Last updated
09/15/2022
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