Provider Demographics
NPI:1245431642
Name:TOWERS, IRENE ELIZABETH (PT)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:ELIZABETH
Last Name:TOWERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LISELLE
Other - Middle Name:
Other - Last Name:TOWERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:114 BOBBIS TERRACE
Mailing Address - Street 2:
Mailing Address - City:NEW EGYPT
Mailing Address - State:NJ
Mailing Address - Zip Code:08533
Mailing Address - Country:US
Mailing Address - Phone:609-758-5348
Mailing Address - Fax:
Practice Address - Street 1:61 MAPLEWOOD AVE
Practice Address - Street 2:ELMS OF CRANBURY
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512
Practice Address - Country:US
Practice Address - Phone:609-395-3445
Practice Address - Fax:609-655-2052
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00675700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist