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SERG MARI ENTISE, BSPT

BSPT

Physical Therapist

NPI: 1811107733IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

40QA00994400(NJ)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 1998

Contact & Hours

Address
400 PASSAIC AVE, APT 112
EAST NEWARK, NJ 07029

Quick Facts

NPI
1811107733
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
28

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