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Individual

MRS. TISA ANN GIVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, MSA

Contact information

Practice address
18 COLES AVE, HACKENSACK, NJ 07601-3007
(201) 488-8594
Mailing address
18 COLES AVE, HACKENSACK, NJ 07601-3007
(718) 584-9000

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
NY

Other

Enumeration date
07/04/2006
Last updated
07/08/2007
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