Individual
CECILLE DE LOS ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
615 23RD ST, UNION CITY, NJ 07087-3505
(201) 809-6200
Mailing address
62 TRASK AVE, BAYONNE, NJ 07002-5226
(646) 897-5533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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