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Individual

COLEEN BAQUERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, MSPT

Contact information

Practice address
19 WYLIE TER, MORGANVILLE, NJ 07751-1436
(732) 547-1968
Mailing address
19 WYLIE TER, MORGANVILLE, NJ 07751-1436
(732) 547-1968

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01106700
NJ

Other

Enumeration date
04/08/2013
Last updated
05/18/2016
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