Individual
DARA K. AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
47 EGGERS CT, SUMMIT, NJ 07901-6700
(973) 310-2919
Mailing address
530 VALLEY ST, MAPLEWOOD, NJ 07040-1384
(973) 310-2919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022462-01
NY
225100000X
Physical Therapist
Primary
40QA01191900
NJ
Other
Enumeration date
06/15/2007
Last updated
08/20/2025
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