Doctor Name: | MRS. YAFFA LIEBERMANN |
NPI Number: | 1023216025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA00370600 |
Business Practice Address: | 32 Laurel Ave Keansburg, NJ - 077341125 |
Business Phone Number: | 7327878100 |
Business Fax Number: | |
Mailing Address: | 11 Malke Dr, OCEAN |
State: | NJ |
Postal Code: | 077123370 |
Phone Number: | 7324934869 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 40QA00370600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |