Individual
MRS. ALISON R LICATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 JASMINE RD, MATAWAN, NJ 07747-3709
(347) 351-1949
Mailing address
7 JASMINE RD, MATAWAN, NJ 07747-3709
(347) 351-1949
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
022122-1
NY
Other
Enumeration date
11/21/2008
Last updated
10/23/2014
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