Provider Demographics
NPI:1659579456
Name:QUIZON, JUDY U (PT)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:U
Last Name:QUIZON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8-14 SADDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5733
Mailing Address - Country:US
Mailing Address - Phone:201-773-0404
Mailing Address - Fax:201-773-0405
Practice Address - Street 1:8-14 SADDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5733
Practice Address - Country:US
Practice Address - Phone:201-797-7373
Practice Address - Fax:201-797-1055
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01120400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1659579456OtherNPPES