Individual
ELAINE R VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
113 HASTINGS DR, GALLOWAY, NJ 08205-4680
(609) 442-0916
Mailing address
113 HASTINGS DR, GALLOWAY, NJ 08205-4680
(609) 442-0916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA01149900
NJ
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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