Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 40QB00112100 | NJ |
NPI | 1013195544 |
---|---|
Provider Name | Miss Janine Spoto |
First Address | Piscataway, NJ 08854-3536 |
Second Address | South Amboy, NJ 08879-2000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 06/02/2008 |