Anthony Joseph Iadisernia, DPT Valid NPI

Individual provider · Physical Therapist · Eatontown, NJ

NPI

1043822935

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

40QA01941700 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-08-20

Last updated

2020-08-20