Individual
MASUMI O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
151 GEORGE ST, SOUTH AMBOY, NJ 08879-1713
(732) 727-2193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00227800
NJ
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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