Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 40QA00705700 | NJ |
NPI | 1073764510 |
---|---|
Provider Name | Dawn R Barofsky |
First Address | Ocean, NJ 07712-3777 |
Second Address | Ocean, NJ 07712-7271 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |