Individual
ROSELINE LOUIS FELISMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
734 N BROAD ST APT T1, ELIZABETH, NJ 07208-2333
(561) 814-9237
Mailing address
734 N BROAD ST APT T1734, ELIZABETH, NJ 07208-2312
(561) 814-9237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00404200
NJ
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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