Ms. SHANICE ALICIA BANCROFT PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1437819851- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 271 WAINWRIGHT ST, NEWARK, NJ, 071123073
- Phone
- (347) 712-8636
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: NJ #40qb00391200
All Addresses
MAILING
271 WAINWRIGHT ST
NEWARK, NJ, 071123073