Individual
MRS. ALYSA MARIE EZEIRUAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
542 BERLIN CROSS KEYS RD, WINSLOW PLAZA SUITE 1, SICKLERVILLE, NJ 08081-4367
(856) 740-0009
Mailing address
32 MADISON LN, SICKLERVILLE, NJ 08081-4409
(856) 629-2916
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01213200
NJ
Other
Enumeration date
08/31/2006
Last updated
01/29/2008
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