Individual
MRS. MARY E CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
509 ROUTE 530, WHITING, NJ 08759-3145
(732) 849-2045
Mailing address
539A CALIFORNIA AVE, BRICK, NJ 08724-1401
(732) 458-4123
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00110500
NJ
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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