Healthcare Provider Details

I. General information

NPI: 1588569560
Provider Name (Legal Business Name): LUIZA MOTA SALA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 BILBY RD STE 201
HACKETTSTOWN NJ
07840-4174
US

IV. Provider business mailing address

61 SHADES OF DEATH RD
GREAT MEADOWS NJ
07838-2603
US

V. Phone/Fax

Practice location:
  • Phone: 908-878-2162
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02399600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: