RAVEN LOFTUS

WHITING, NJ
NPI1790406122
Former NameRAVEN THOMAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA02112800)
Enumeration Date2022-09-05
Last Update Date2023-08-16
Business Address
RAVEN LOFTUS PT, DPT
63 LACEY RD STE H
WHITING, NJ 08759-2966
Phone number: 732-716-0111
Mailing Address
RAVEN LOFTUS PT, DPT
11 EAGLE ROCK AVE STE 201
EAST HANOVER, NJ 07936-3167
Phone number: 973-887-9000