Individual
MS. DIANE PANNITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
36 NEWARK AVE, SUITE 200, BELLEVILLE, NJ 07109-4119
(973) 751-3729
(973) 751-4156
Mailing address
113 WALKER RD, WEST ORANGE, NJ 07052-3803
(973) 751-3729
(973) 751-4156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00100700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3464913
OXFORD ID #
NJ
Enumeration date
02/27/2007
Last updated
07/08/2007
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