Individual
MELANIE ANN GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 MAIN ST, PATERSON, NJ 07503-2212
(888) 233-3415
Mailing address
129 LAKE DR E, WAYNE, NJ 07470-4229
(917) 543-2744
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00250500
NJ
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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