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1073910436
STEPHEN TISA
SEWELL, NJ
NPI
1073910436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01584500)
Enumeration Date
2014-12-01
Last Update Date
2014-12-01
Business Address
STEPHEN TISA DPT
14 PARKE PLACE BLVD SUITE D
SEWELL, NJ 08080-2661
Phone number: 856-256-8393
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Mailing Address
STEPHEN TISA DPT
14 PARKE PLACE BLVD SUITE D
SEWELL, NJ 08080-2661
Phone number: 856-256-8393
Copy
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