Most Relevant Information
Provider Data
| NPI Number: | 1003350356 |
| Provider Name: | IVANA KAPETANOVIC PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 400QA01704600 |
Most Important Dates
| Enumeration Date: | 12/06/2016 |
| Last Updated: | 02/28/2020 |
Provider Practice Location
1931 WASHINGTON VALLEY RD
MARTINSVILLE
NJ
088362029
Practice Location Phone/Fax
| Phone: | 7325520275 |
| Fax: |
Provider Mailing Location
PO BOX 1014
CLARK
NJ
070661014
Provider Mailing Phone/Fax
| Phone: | 7328559751 |
| Fax: | 7328559755 |