Provider Demographics
NPI:1588863369
Name:STURVENT, MARTHA L (PHYSICAL THERAPY)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:L
Last Name:STURVENT
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:MRS
Other - First Name:MARTHA
Other - Middle Name:
Other - Last Name:TRUXEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICAL THERAPY
Mailing Address - Street 1:16 VALLEYVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5228
Mailing Address - Country:US
Mailing Address - Phone:973-829-8484
Mailing Address - Fax:973-829-8485
Practice Address - Street 1:PGCSCHOOL
Practice Address - Street 2:15 HALKO DRIVE
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927
Practice Address - Country:US
Practice Address - Phone:973-829-8484
Practice Address - Fax:973-829-8485
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00104400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist