MARY ANN LIZA SUPAN

MATAWAN, NJ
NPI1699988220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01125400)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- MARY ANN LIZA SUPAN
625 STATE ROUTE 34
MATAWAN, NJ 07747-3050
Phone number: 732-888-2400
Mailing Address
-- MARY ANN LIZA SUPAN
37 RANDOLPH AVE
OLD BRIDGE, NJ 08857-1147
Phone number:
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