Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ANN LIZA SUPAN
ActiveMARY ANN LIZA SUPAN is a Physical Therapy Assistant healthcare provider located in MATAWAN, New Jersey. NPI 1699988220 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MATAWAN, NJ
Registration Details
- NPI Number
- 1699988220
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2007 (19.293849646076 yrs)
- Last Updated
- Jul 8, 2007
- License
-
40QA01125400 (NJ)
Practice Information
- Address
-
625 STATE ROUTE 34MATAWAN, NJ, 077473050Browse NJ providers · Browse ZIP 07747
- Phone
- 7328882400
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MATAWAN, NJ
| Name | Credential | NPI |
|---|---|---|
| JOSEPH CHUA MORALES | PT | 1609835941 |
| ELEAZAR A SARES | PT | 1780622399 |
| DEBORAH ARRINGTON | — | 1851401533 |
| LORRAINE VALES | — | 1952411894 |
| SUSAN MARINELLIE-DUCA | — | 1932219359 |
| MICHAEL J MULLANEY | DPT | 1255428603 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.