Ma.Reichel Saraida Anacin

Individual provider Active NPI Physical Therapist · Whiting, NJ

NPI 1346593290 · NPPES record last updated Oct 16, 2012

Key facts

NPI
1346593290
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
J1-0002849 (DE)
Practice address
50 Lacey Rd
Whiting, NJ 08759-2951
Phone
(732) 849-4900
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
No

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
J1-0002849DEMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0002849 DE Yes

Addresses

Primary practice location

50 Lacey Rd
Whiting, NJ 08759-2951

Mailing address

50 Lacey Rd
Whiting, NJ 08759-2951

Other names

  • Ms. Ma.Reichel Matta Saraida Former name

Other providers in Whiting, NJ

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

Sources for this page

Verify at the official NPI Registry.