| NPI | 1972905271 |
|---|---|
| Former Name | AMANDA PEZZELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01564000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01564000) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-05-03 |