Provider Demographics
NPI:1982844650
Name:LAMPARELLI, PHYLLIS F (PT)
Entity Type:Individual
Prefix:MRS
First Name:PHYLLIS
Middle Name:F
Last Name:LAMPARELLI
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 1:13 SUSSEX PL
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1274
Mailing Address - Country:US
Mailing Address - Phone:732-801-3420
Mailing Address - Fax:
Practice Address - Street 1:13 SUSSEX PL
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-1274
Practice Address - Country:US
Practice Address - Phone:732-801-3420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01022000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist