Individual
DR. AYESHA H MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3100 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1658
(301) 525-6341
Mailing address
15 DIX LN, LAWRENCEVILLE, NJ 08648-4844
(301) 525-6341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01755000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01755000
NJ STATE BOARD OF PHYSICAL THERAPY
NJ
Enumeration date
01/25/2022
Last updated
01/25/2022
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