Basic Information
Provider Information
NPI: 1083882237
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINN
FirstName: AMY
MiddleName: ELIZABETH
NamePrefix: MRS.
NameSuffix:  
Credential: MPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 608 WASHINGTON ST
Address2: FIRST FLOOR
City: HOBOKEN
State: NJ
PostalCode: 070305170
CountryCode: US
TelephoneNumber: 2014840134
FaxNumber: 2014847123
Practice Location
Address1: 608 WASHINGTON ST
Address2: FIRST FLOOR
City: HOBOKEN
State: NJ
PostalCode: 070305170
CountryCode: US
TelephoneNumber: 2014840134
FaxNumber: 2014847123
Other Information
ProviderEnumerationDate: 02/11/2008
LastUpdateDate: 02/11/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X40QA00909700NJY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X021766-1NYN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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