Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SERG MARI SANCHEZ ENTISE, BSPT
Active Sole ProprietorMR. SERG MARI SANCHEZ ENTISE, BSPT is a Physical Therapy Assistant healthcare provider located in EAST NEWARK, New Jersey. NPI 1811107733 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EAST NEWARK, NJ
Registration Details
- NPI Number
- 1811107733
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.231161233537 yrs)
- Last Updated
- Apr 23, 2019
- License
-
40QA00994400 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 PASSAIC AVEAPT 112EAST NEWARK, NJ, 070292852Browse NJ providers · Browse ZIP 07029
- Phone
- 2015750070
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EAST NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| SHUBHANGI THAKAR | — | 1881047884 |
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.