Individual
MISS IRMINA MONTANIEL VERZOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
230 BROAD ST, BLOOMFIELD, NJ 07003-2606
(973) 680-1971
Mailing address
605 GROVE ST APT E8, CLIFTON, NJ 07013-3869
(917) 957-1446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01091100
NJ
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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