Doctor Name: | SUSAN MARINELLIE-DUCA |
NPI Number: | 1932219359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1070 Hwy 34 Plaza 34 Ste O North Matawan, NJ - 07747 |
Business Phone Number: | 7322900405 |
Business Fax Number: | |
Mailing Address: | 21 Country Squire Ln, HOLMDEL |
State: | NJ |
Postal Code: | 077332369 |
Phone Number: | 7329468889 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |