Individual
YVONNE GLORIA BANKOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1155 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 400-3812
Mailing address
6 ELSMAN TER, MAPLEWOOD, NJ 07040-1620
(201) 259-1329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00038800
NJ
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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