Most Relevant Information
Provider Data
| NPI Number: | 1003835158 |
| Provider Name: | PAUL LAYUGAN BALISI PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | QA00769300 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
180 FRANKLIN TPKE STE 9
MAHWAH
NJ
074301364
Practice Location Phone/Fax
| Phone: | 2018289290 |
| Fax: | 2018289670 |
Provider Mailing Location
180 FRANKLIN TPKE STE 9
MAHWAH
NJ
074301364
Provider Mailing Phone/Fax
| Phone: | 2018289290 |
| Fax: | 2018289670 |