Individual
WHO SUN IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BRINKERHOFF TER FL 2, PALISADES PARK, NJ 07650-1101
(201) 313-1212
Mailing address
17 BRINKERHOFF TER FL 2, PALISADES PARK, NJ 07650-1101
(201) 313-1212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00276200
NJ
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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