Provider Demographics
NPI:1538284989
Name:SAJUL-ELIMANCO, HELEN (NCTMB)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:SAJUL-ELIMANCO
Suffix:
Gender:F
Credentials:NCTMB
Other - Prefix:
Other - First Name:ELAINE HELEN
Other - Middle Name:
Other - Last Name:SAJUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 PATRICIA AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3051
Mailing Address - Country:US
Mailing Address - Phone:732-321-0140
Mailing Address - Fax:732-828-0227
Practice Address - Street 1:3 BROOKSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2202
Practice Address - Country:US
Practice Address - Phone:732-828-0227
Practice Address - Fax:732-828-0227
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ335567-00225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist