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Contact Information

SHANNON MOTISI
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ07052-1424
 Phone: 973-731-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHANNON MOTISI · (Female)

NPI Number 1255754875
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2014
Last updated 09/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 40QA01387200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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