Ma Sheryll Co

Individual provider Active NPI Physical Therapist · Plainfield, NJ

NPI 1003223975 · NPPES record last updated Jul 12, 2014

Key facts

NPI
1003223975
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA01229000 (NJ)
Practice address
1400 Woodland Ave
Plainfield, NJ 07060-3362
Phone
(908) 753-1113
NPI assigned
Jul 12, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
40QA01229000NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01229000 NJ Yes

Addresses

Primary practice location

1400 Woodland Ave
Plainfield, NJ 07060-3362

Mailing address

49 Sagamore Ave
Edison, NJ 08820-2977

Other providers in Plainfield, NJ

All providers in Plainfield, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.