Mrs. Materesita A Antonsson, PHYSICAL THERAPIST
Physical Therapist in Bloomfield, New Jersey
1164632436- Practice location
- 267 Spruce St, Bloomfield, NJ 07003-3645
- Phone
- 973-748-9578
- Fax
- —
- Last updated
- July 8, 2007
Materesita Ayuban Antonsson is a Physical Therapist based in Bloomfield, NJ. Materesita Ayuban Antonsson practices in Bloomfield, NJ and has the professional credentials of PHYSICAL THERAPIST. The NPI Number for Materesita Ayuban Antonsson is 1164632436 and holds a License No. 40QA00771900 (NJ). The current practice location address for Materesita Ayuban Antonsson is 267 Spruce St, Bloomfield, NJ 07003-3645 and can be reached out via phone at 973-748-9578.
Provider Profile Details
- NPI Number
- 1164632436
- Provider Name
- Materesita Ayuban Antonsson
- Credential
- PHYSICAL THERAPIST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 267 Spruce St, Bloomfield, NJ 07003-3645
- Phone Number
- 973-748-9578
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 23, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 Spruce St
Bloomfield, NJ 07003-3645 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3645
- Phone Number
- 973-748-9578
Provider Business Mailing Address Details
- Address
- 267 Spruce St
Bloomfield, NJ 07003-3645 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3645
- Phone Number
- 973-748-9578
License Information
- License Number
- 40QA00771900
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Materesita A Antonsson, PHYSICAL THERAPIST?
The NPI number of Mrs. Materesita A Antonsson, PHYSICAL THERAPIST is 1164632436. It was assigned on May 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Materesita A Antonsson, PHYSICAL THERAPIST?
Mrs. Materesita A Antonsson, PHYSICAL THERAPIST is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00771900.
Where does Mrs. Materesita A Antonsson, PHYSICAL THERAPIST practice?
The practice location is 267 Spruce St, Bloomfield, NJ 07003-3645. The office can be reached at 973-748-9578 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164632436 directly on the NPPES registry website.