Provider Demographics
NPI:1952465015
Name:CAMPANELLA MORROW, LYDIA MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:MARIE
Last Name:CAMPANELLA MORROW
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 1:7 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872
Mailing Address - Country:US
Mailing Address - Phone:732-651-7711
Mailing Address - Fax:
Practice Address - Street 1:18 CENTER DRIVE APPLEGARTH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831
Practice Address - Country:US
Practice Address - Phone:609-655-4200
Practice Address - Fax:609-655-4201
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00849900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist