Provider Demographics
NPI:1720620107
Name:FERRER, ELIZA BRITTNI (PT)
Entity Type:Individual
Prefix:DR
First Name:ELIZA
Middle Name:BRITTNI
Last Name:FERRER
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 1:3306 BALSAM WAY
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-3156
Mailing Address - Country:US
Mailing Address - Phone:917-715-7668
Mailing Address - Fax:
Practice Address - Street 1:540 BORDENTOWN AVE STE 4700
Practice Address - Street 2:
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879-1576
Practice Address - Country:US
Practice Address - Phone:732-525-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01879600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist