Individual
JOAN AVA TOTARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 SERENITY PL, TOMS RIVER, NJ 08755-7300
(732) 533-4045
Mailing address
67 SERENITY PL, TOMS RIVER, NJ 08755-7300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00270500
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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