Most Relevant Information
Provider Data
| NPI Number: | 1003546706 |
| Provider Name: | LINA KLOSSEK |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2022 |
| Last Updated: | 06/15/2022 |
Provider Practice Location
540 BORDENTOWN AVE STE 10B
SOUTH AMBOY
NJ
088791576
Practice Location Phone/Fax
| Phone: | 7325531600 |
| Fax: |
Provider Mailing Location
238 ISIAS CT
PERTH AMBOY
NJ
088615229
Provider Mailing Phone/Fax
| Phone: | 9089435684 |
| Fax: |