Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA00917700 | NJ |
NPI | 1003016122 |
---|---|
Provider Name | Mrs. Alexandria Mcsweeney |
First Address | East Brunswick, NJ 08816-4437 |
Second Address | East Brunswick, NJ 08816-4437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 18/07/2007 |