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NPI Code Detail

MEDICARE: MISS JANINE SPOTO PTA

MEDICARE: MISS JANINE SPOTO PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant40QB00112100NJ

General Provider Information

NPI Number : 1013195544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JANINE SPOTO PTA
Provider Business Mailing Address
First Line : 280 RIVER RD APT 2B
Second Line :
City : PISCATAWAY
State : NJ
Zip : 08854-3536
Country : US
Telephone Number : 201-396-1486
Fax Number :
Provider Business Practice Location Address
First Line : 901 ERNSTON RD
Second Line :
City : SOUTH AMBOY
State : NJ
Zip : 08879-2000
Country : US
Telephone Number : 732-721-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2008
Last Update Date : 02/06/2008

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Directions to “ MISS JANINE SPOTO PTA” Practice Location

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