Provider Demographics
NPI:1841408820
Name:IONTA, LINDA M (MS, A T C)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:IONTA
Suffix:
Gender:F
Credentials:MS, A T C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 N COTTAGE PL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2820
Mailing Address - Country:US
Mailing Address - Phone:908-654-3370
Mailing Address - Fax:908-851-6517
Practice Address - Street 1:2350 N 3RD ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5049
Practice Address - Country:US
Practice Address - Phone:908-851-6508
Practice Address - Fax:908-851-6517
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000022002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer