Individual
SANDRA J MAINARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
61 BEAVERBROOK RD, SUITE 103, LINCOLN PARK, NJ 07035-1748
(973) 305-0700
Mailing address
24 SHERBROOKE DR, LINCOLN PARK, NJ 07035-1524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00150800
NJ
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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