Robbie Bacon, PTA,CLT Valid NPI

Individual provider · Physical Therapy Assistant · Malaga, NJ

NPI

1548659972

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

40QBOO283300 (NJ)

Sex

Female

Sole proprietor

No

Enumerated

2015-01-22

Last updated

2015-01-22