STEPHEN TISA

SEWELL, NJ
NPI1073910436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01584500)
Enumeration Date2014-12-01
Last Update Date2014-12-01
Business Address
-- STEPHEN TISA DPT
14 PARKE PLACE BLVD SUITE D
SEWELL, NJ 08080-2661
Phone number: 856-256-8393
Mailing Address
-- STEPHEN TISA DPT
14 PARKE PLACE BLVD SUITE D
SEWELL, NJ 08080-2661
Phone number: 856-256-8393
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