Individual
MRS. YVONNE HUBERTINA DI EDWARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
99 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1634
(973) 889-5382
Mailing address
2 DEAN GALLO CT, MORRIS PLAINS, NJ 07950-3446
(973) 359-1229
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00408400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00408400
NEW JERSEY BOARD OF PHYSICAL THERAPY
NJ
Enumeration date
07/25/2011
Last updated
07/25/2011
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