Basic Information
| Provider Information | |||||||||
| NPI: | 1699701037 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PALLOP | ||||||||
| FirstName: | MARCIA | ||||||||
| MiddleName: | NEIBERG | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MPT ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 PRINCETON HIGHTSTOWN RD | ||||||||
| Address2: | STE 201 BLDG A | ||||||||
| City: | EAST WINDSOR | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094264442 | ||||||||
| FaxNumber: | 6094430910 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 PRINCETON HIGHTSTOWN RD | ||||||||
| Address2: | STE 201 BLDG A | ||||||||
| City: | EAST WINDSOR | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094264442 | ||||||||
| FaxNumber: | 6094430910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | NJQA04850 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.