Individual
PATRICIA BETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 NJ- 17 N, MAYWOOD, NJ 07607
(551) 996-2512
Mailing address
23 GARFIELD RD, WAYNE, NJ 07470-6450
(845) 659-1331
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01568000
NJ
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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