Provider Demographics
NPI:1265673982
Name:MAGTO-SELIM, GIOVANNA (PT)
Entity Type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:
Last Name:MAGTO-SELIM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:GIOVANNA
Other - Middle Name:
Other - Last Name:MAGTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:88 MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1412
Mailing Address - Country:US
Mailing Address - Phone:877-887-3574
Mailing Address - Fax:
Practice Address - Street 1:88 MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-1412
Practice Address - Country:US
Practice Address - Phone:877-887-3574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist