Individual
CRISEL PANES- LATTAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 COMFORT RD, WILLIAMSTOWN, NJ 08094-2977
(484) 535-0508
Mailing address
332 COMFORT RD, WILLIAMSTOWN, NJ 08094-2977
(484) 535-0508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20386
PA
Other
Enumeration date
05/15/2011
Last updated
07/26/2024
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