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Individual

MRS. VIRGINIA J ISAKSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 RIVER AVE, SUITE 245, LAKEWOOD, NJ 08701-4738
(732) 367-1888
(732) 367-5910
Mailing address
102 WILSON AVE, PORT MONMOUTH, NJ 07758-1546
(732) 495-4137
(732) 495-4137

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
10/28/2010
Last updated
10/28/2010
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