Individual
MS. GLADYS MAY CASAYURAN DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 THORNALL ST STE 510, EDISON, NJ 08837-2224
(862) 333-8055
Mailing address
5 MANOR DR APT 3N, NEWARK, NJ 07106-3236
(862) 333-8055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01914100
NJ
225100000X
Physical Therapist
J100040006
DE
Other
Enumeration date
02/28/2020
Last updated
06/03/2025
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