Individual
ELIZABETH LOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 CLIFTON AVE STE 101, CLIFTON, NJ 07013
(973) 400-3730
Mailing address
194 NOTCH RD, CLIFTON, NJ 07013-3232
(973) 650-7138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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