Individual
MS. JANETH BACUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 WARREN STREET, NEW YORK, NY 10282
(212) 571-5659
Mailing address
255 LEXINGTON AVE, 2ND FLR, JERSEY CITY, NJ 07304-1205
(551) 689-6272
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
62-029984
NY
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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