Individual
ANGELICA VILLACORTA DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 TONNELE AVE APT 4C, JERSEY CITY, NJ 07306-5520
(551) 208-7070
Mailing address
20 TONNELE AVE APT 4C, JERSEY CITY, NJ 07306-5520
(551) 208-7070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009160
NY
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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