Individual
GINA M LUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 CORPORATE CENTER DR, MANALAPAN, NJ 07726-8736
(732) 761-0302
Mailing address
300 CORPORATE CENTER DR, MANALAPAN, NJ 07726-8736
(732) 778-4591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00389600
NJ
2251P0200X
Pediatric Physical Therapist
40QA00389600
NJ
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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