Individual
MORGAN BUSUMTWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
93 GOODWIN AVE, NEWARK, NJ 07112-1874
(862) 703-0543
(800) 521-9608
Mailing address
93 GOODWIN AVE, NEWARK, NJ 07112-1874
(862) 703-0543
(800) 521-9608
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00264000
NJ
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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