Individual
LUIS MIGUEL LEGASPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 TAPPEN ST, AVENEL, NJ 07001-1303
(732) 218-5577
Mailing address
28 TAPPEN ST, AVENEL, NJ 07001-1303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB004000
NJ
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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