Doctor Name: | MARISSA J LYNN |
NPI Number: | 1205238045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 40QA01562700 |
Business Practice Address: | 2-22 Banta Pl Fair Lawn, NJ - 074103058 |
Business Phone Number: | 2017944417 |
Business Fax Number: | |
Mailing Address: | Po Box 1014, CLARK |
State: | NJ |
Postal Code: | 070661014 |
Phone Number: | 7328559751 |
Fax Number: | 7328559755 |
NPI Enumeration Date: | 09/24/2014 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01562700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |