Individual
ALFA ROSE Y CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 VERVALEN ST, CLOSTER, NJ 07624-2635
(201) 784-8400
(201) 784-8401
Mailing address
1 DEGRAW AVE, TEANECK, NJ 07666-4000
(201) 353-9000
(201) 530-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01166100
NJ
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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