Individual
MRS. ELISABETH IANCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
380 DEMOTT LN, SOMERSET, NJ 08873-2762
(732) 873-2000
(732) 873-2112
Mailing address
42 DAWN CT, MONMOUTH JCT, NJ 08852-2604
(732) 329-2439
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00172100
NJ
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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