IndividualActive
Anthony Iadisernia, DPT
NPI 1043822935 · Physical Therapist · Eatontown, NJ
Provider details
- NPI number
- 1043822935
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QA01941700 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1 Main St Ste 505
Eatontown, NJ 07724-3903
Phone: (732) 493-3100
Approximate (ZIP-level) locationGet directions
Mailing address
1 Main St Ste 505
Eatontown, NJ 07724-3903
Registry dates
- Enumerated
- 2020-08-20
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.