Individual
MARIA EMMA MISMANOS DUQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
81 NEW JERSEY AVE, BERGENFIELD, NJ 07621-1326
(240) 409-7155
Mailing address
81 NEW JERSEY AVE, BERGENFIELD, NJ 07621-1326
(240) 409-7155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009276
NY
Other
Enumeration date
11/06/2014
Last updated
03/15/2025
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