Doctor Name: | MRS. ELIZABETH J CONNELLY-PLATANELLA |
NPI Number: | 1295790467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 40QB00028400 |
Business Practice Address: | 601 New Rd Linwood, NJ - 082211251 |
Business Phone Number: | 6099261161 |
Business Fax Number: | 6099263223 |
Mailing Address: | 601 New Rd, LINWOOD |
State: | NJ |
Postal Code: | 082211251 |
Phone Number: | 6099261161 |
Fax Number: | 6099263223 |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 40QB00028400 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |