Provider Demographics
NPI:1245250752
Name:PARAISO-DARVIN, MARIA PILAR FATIMA ANGAT (PT)
Entity type:Individual
Prefix:
First Name:MARIA PILAR FATIMA
Middle Name:ANGAT
Last Name:PARAISO-DARVIN
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 1:35 SHAFFER RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-5605
Mailing Address - Country:US
Mailing Address - Phone:908-541-1952
Mailing Address - Fax:908-541-1952
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1095
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:973-395-7160
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00610500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist