Individual
BONNIE J FARESICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 CEDAR CREST DR, POMPTON PLAINS, NJ 07444-2100
(973) 831-3670
Mailing address
18 MAGNOLIA AVE, DENVILLE, NJ 07834-9328
(973) 615-0210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40 QA00345500
NJ
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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