PURISSA A SEVILLE PT

Dr PURISSA A SEVILLE PT is a female medical professional, specializing in Physical Therapy. She graduated in 1997.

Contact

82 N SUMMIT ST D
SEVILLE PHYSICAL THERAPY LLC
TENAFLY
NJ
076701016

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PURISSA A SEVILLE PT Information

Npi 1497738579
Pac Id 4981667771
Professional Enrollment Id I20041111000925
Last Name SEVILLE
First Name PURISSA
Middle Name A
Suffix
Gender F
Credential PT
Medical School Name OTHER
Graduation Year 1997
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 82 N SUMMIT ST D
Line 2 Street Address SEVILLE PHYSICAL THERAPY LLC
Marker Of Address Line 2 Suppression
City TENAFLY
State NJ
Zip Code 076701016
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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