Provider Demographics
NPI:1265142392
Name:ROMANO, ISABELLA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ISABELLA
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-4439
Mailing Address - Country:US
Mailing Address - Phone:609-915-7250
Mailing Address - Fax:
Practice Address - Street 1:3737 MARKET ST STE 200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5543
Practice Address - Country:US
Practice Address - Phone:215-349-5585
Practice Address - Fax:215-222-8647
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist