Individual
ENRIC THOMAS SENO GESTOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 E LINDSLEY RD, CEDAR GROVE, NJ 07009-1152
(973) 754-4800
Mailing address
560 WILLOW AVE, LYNDHURST, NJ 07071-2621
(860) 518-2143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01773900
NJ
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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