Individual
MS. DIJE ANIFOWOSHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
73 BERKSHIRE PL, IRVINGTON, NJ 07111-4046
(908) 400-1396
Mailing address
73 BERKSHIRE PL, IRVINGTON, NJ 07111-4046
(908) 400-1396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40OB00219300
NJ
Other
Enumeration date
10/15/2010
Last updated
10/18/2010
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