Individual
DANIEL IDROVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2840 MORRIS AVE, UNION, NJ 07083-4851
(908) 588-9790
Mailing address
C13 GIRARD PL, UNION, NJ 07083-5626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02172000
NJ
2251P0200X
Pediatric Physical Therapist
40QA02172000
NJ
2251S0007X
Sports Physical Therapist
40QA02172000
NJ
2251X0800X
Orthopedic Physical Therapist
40QA02172000
NJ
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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