Individual
ELENA D CHIRUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
336 PROSPECT AVE, HACKENSACK, NJ 07601-2506
(888) 830-1050
Mailing address
3-29 31ST ST, FAIR LAWN, NJ 07410-3941
(347) 306-3907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
009423-01
NY
225200000X
Physical Therapy Assistant
Primary
40B00401200
NJ
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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