Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01787300 | NJ |
NPI | 1023595162 |
---|---|
Provider Name | Katherine Marimat Yaiser |
First Address | Plainsboro, NJ 08536-3905 |
Second Address | Plainsboro, NJ 08536-3905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2018 |
Last Update Date | 22/07/2018 |