Provider Demographics
NPI:1629277769
Name:CAMA, FARZANA DAVER (PT)
Entity Type:Individual
Prefix:MRS
First Name:FARZANA
Middle Name:DAVER
Last Name:CAMA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:FARZANA
Other - Middle Name:E
Other - Last Name:DAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 MATHEW DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3620
Mailing Address - Country:US
Mailing Address - Phone:732-809-8481
Mailing Address - Fax:
Practice Address - Street 1:7 CARNEGIE PLZ
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1000
Practice Address - Country:US
Practice Address - Phone:877-407-3422
Practice Address - Fax:866-210-1111
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00959100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist