Individual
JUSTIN A SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 PERRINE RD STE 315, OLD BRIDGE, NJ 08857-3628
(877) 532-7837
Mailing address
2-22 BANTA PL, FAIR LAWN, NJ 07410-3058
(877) 532-7837
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00420900
NJ
Other
Enumeration date
02/18/2025
Last updated
02/25/2025
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