Provider Demographics
NPI:1538372610
Name:TULLI, MARIA B (MSPT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:B
Last Name:TULLI
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:B
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:1311 MAMARONECK AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1555 HAVEN AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-3158
Practice Address - Country:US
Practice Address - Phone:609-905-1537
Practice Address - Fax:609-957-5210
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008644L225100000X
NJ40QA02184000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist