Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 40QA01706000 | NJ |
NPI | 1033606439 |
---|---|
Provider Name | Linndy Foo |
First Address | Oakhurst, NJ 07755-2925 |
Second Address | Oakhurst, NJ 07755-2925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2018 |
Last Update Date | 20/04/2018 |