Individual
MR. THOMAS ERMINIO VERTICCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
9 WASHINGTON ST, MATAWAN, NJ 07747-3208
(718) 986-7466
Mailing address
9 WASHINGTON ST, MATAWAN, NJ 07747-3208
(718) 986-7466
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
020047-1
NY
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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