MS. Andrea Louise Didisheim, PTA

NPI #1093096679 in Princeton, New Jersey

Provider Information

NPI Number: 1093096679
Entity Type: Individual
Name: MS. Andrea Louise Didisheim, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Sep 8, 2011
Last Updated: Sep 8, 2011

Practice Location

Address: 11 STATE RD
Address 2: SUITE 400
City: Princeton
State: New Jersey
ZIP Code: 08540-1300
Phone: (609) 454-3536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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