Individual
ELISE PAVLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
67 LACEY RD STE 8-12, WHITING, NJ 08759-2912
(732) 849-0700
Mailing address
67 LACEY RD, SUITES 8-12, WHITING, NJ 08759-2912
(732) 849-9600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01548500
NJ
Other
Enumeration date
04/23/2014
Last updated
01/19/2016
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