Individual
MISS AMY ANNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 VAN WYCK ST, MONTVALE, NJ 07645-1025
(551) 804-2279
Mailing address
220 LIVINGSTON ST STE 108, NORTHVALE, NJ 07647-1739
(201) 564-7515
(201) 564-7514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02135600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA02135600
PHYSICAL THERAPY NJ LICENSE
NJ
Enumeration date
11/11/2022
Last updated
11/11/2022
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