Mary Ann Liza Supan
Mary Ann Liza Supan is a Physical Therapist in Matawan, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
Practice location Address checks out
625 State Route 34Matawan, NJ 07747-3050
Phone: (732) 888-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40QA01125400 (NJ) |
|---|
Record details
| NPI number | 1699988220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 8, 2007 |
| Last updated in NPPES | July 8, 2007 |
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