Individual
MARIANETTE COL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
210 NORTH AVE E, CRANFORD, NJ 07016-2491
(908) 276-0237
Mailing address
1620 EDMUND TER, UNION, NJ 07083-4006
(480) 395-5709
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01799900
NJ
Other
Enumeration date
08/24/2018
Last updated
02/14/2024
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