MR. SERG MARI ENTISE, BSPT
Physical Therapist
Active
Individual
NPI: 1811107733
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 40QA00994400 (NJ) |
Frequently Asked Questions
NPI 1811107733 is the National Provider Identifier for MR. SERG MARI ENTISE, BSPT, a Physical Therapist provider located in East Newark, NJ. This NPI was enumerated on May 22, 2007.
MR. SERG MARI ENTISE, BSPT practices at 400 PASSAIC AVE, APT 112, East Newark, NJ 07029.
Quick Facts
- NPI
- 1811107733
- Type
- Individual
- Enumerated
- May 22, 2007
- Last Updated
- Apr 23, 2019
Nearby Providers
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