Individual
SOCORRO UY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1070 CLIFTON AVE, CLIFTON, NJ 07013-3619
(973) 246-6565
Mailing address
63 BOGERT ST, TOTOWA, NJ 07512-2440
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT40QA01151800
NJ
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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