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NPI Code Detail

MEDICARE: MRS. CHRISTINE R AYLETT PT

MEDICARE:  MRS. CHRISTINE R AYLETT  PT
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
12251G0304XGeriatric Physical Therapist40QA00604700NJ

General Provider Information

NPI Number : 1467674051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE R AYLETT PT
Provider Business Mailing Address
First Line : 2228 CHRISTOPHER WAY
Second Line :
City : WALL
State : NJ
Zip : 07719
Country : US
Telephone Number : 732-202-8587
Fax Number :
Provider Business Practice Location Address
First Line : 1400 HIGHWAY 70
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5949
Country : US
Telephone Number : 732-370-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. CHRISTINE R AYLETT PT” Practice Location

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