Individual
MR. INNOCENT URAYAI RWAKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
218A SHORE DRIVE, MONTAGUE, NJ 07827-0263
(973) 293-8351
(973) 293-8351
Mailing address
PO BOX 1263, MONTAGUE, NJ 07827-0263
(973) 293-8351
(973) 293-8351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010414L
PA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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