Individual
MRS. DESIREE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3000 JOHN F KENNEDY BLVD STE 316, JERSEY CITY, NJ 07306-3817
(201) 963-0200
(201) 222-1364
Mailing address
3000 JOHN F KENNEDY BLVD STE 316, JERSEY CITY, NJ 07306-3817
(201) 963-0200
(201) 222-1364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01578300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01578300
NJ LICENSE
NJ
Enumeration date
08/01/2009
Last updated
10/02/2025
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