Provider Demographics
NPI:1942746995
Name:PINTO, ANITA CLARA
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:CLARA
Last Name:PINTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2237
Mailing Address - Country:US
Mailing Address - Phone:848-467-4559
Mailing Address - Fax:
Practice Address - Street 1:QUALITY CARE PHYSICAL THERAPY
Practice Address - Street 2:415 AVENEL STREET
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1624
Practice Address - Country:US
Practice Address - Phone:848-467-4559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-15
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038324-1225100000X
NJ40QA01721200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist