Individual
DEIDRE- ANN RONIQUE DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 MAIN ST, MADISON, NJ 07940-1861
(908) 443-9880
Mailing address
78 MAIN ST, MADISON, NJ 07940-1861
(908) 443-9880
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00425600
NJ
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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