Individual
KATHLEEN ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 FLEMING AVE, 3RD FL, NEWARK, NJ 07105-4012
(862) 754-2136
Mailing address
116 FLEMING AVE, 3RD FL, NEWARK, NJ 07105-4012
(862) 754-2136
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00325200
NJ
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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