Individual
PATRICIA THOMAS DEATLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2333 MORRIS AVE, SUITE A210, UNION, NJ 07083-5714
(908) 964-8485
Mailing address
2333 MORRIS AVE, SUITE A210, UNION, NJ 07083-5714
(908) 964-8485
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00017600
NJ
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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