Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 40QA01800000 | NJ |
NPI | 1073113890 |
---|---|
Provider Name | Dr. Debra Schaffler Frisch |
First Address | Somerville, NJ 08876-2018 |
Second Address | Somerville, NJ 08876-2519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2020 |
Last Update Date | 30/10/2020 |