NPI 1184825622

Karen Jacklyn Acquaviva, PTA

Practitioner Physical Therapy Assistant Jackson, NJ

Practice location

Address: 7 Alaska Ave, Jackson, NJ 08527-1801
Phone: (732) 233-4876

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00167700 (NJ)

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Registry record

NPI: 1184825622
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.