Individual
GINA CAROLE DUBUISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
400 NJ-70 E, SUITE 1, LAKEWOOD, NJ 08701
(732) 405-3335
Mailing address
25 MAHER RD, SOMERSET, NJ 08873-7132
(347) 234-6881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01081600
NJ
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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