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Individual

ALEXANDRE BANHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2 EMERY AVE, SUITE 3, RANDOLPH, NJ 07869-1368
(973) 895-9925
(973) 895-9927
Mailing address
2 EMERY AVE, SUITE 3, RANDOLPH, NJ 07869-1368
(973) 895-9925
(973) 895-9927

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00165700
NJ

Other

Enumeration date
07/26/2006
Last updated
07/16/2008
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