Provider Demographics
NPI:1023282399
Name:TIONGSON, JOSEPHINE (PT)
Entity type:Individual
Prefix:MS
First Name:JOSEPHINE
Middle Name:
Last Name:TIONGSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JOSEPHINE
Other - Middle Name:
Other - Last Name:TIONGSON-POTTINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:#411 4TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CARLSTADT
Mailing Address - State:NJ
Mailing Address - Zip Code:07072
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 GREENDALE AVE
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1832
Practice Address - Country:US
Practice Address - Phone:516-902-7551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017014-1225100000X
NJ40QA01109800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist