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Individual
UBY G INOA
Active
Individual
UBY G INOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01144600
NJ
Other
Enumeration date
05/24/2007
Last updated
08/11/2011
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