Individual
EDILENE F PANLILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
190 S VIVYEN ST, BERGENFIELD, NJ 07621-2633
(646) 240-0130
Mailing address
190 S VIVYEN ST, BERGENFIELD, NJ 07621-2633
(646) 240-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01201100
NJ
Other
Enumeration date
07/10/2009
Last updated
03/17/2016
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