Individual
MRS. ELAINE SANTOS
Active
Individual
MRS. ELAINE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA00925400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223440348
AMERIHEALTH
NJ
01
—
223440358
HEALTHNET
NJ
01
—
223440385
OXFORD
NJ
Enumeration date
03/18/2007
Last updated
11/10/2021
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