Individual
MISS FRANCEAH R PALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
28-32 VAN ORDEN PLACE, HACKENSACK, NJ 07631-1951
(201) 621-0100
Mailing address
193 REID AVE, BERGENFIELD, NJ 07621-1951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00993200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00993200
PHYSICAL THERAPY LICENSE
NJ
Enumeration date
05/02/2006
Last updated
09/07/2007
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