Individual
JOAN CAGARA CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
31 LAUREL DR, WAYNE, NJ 07470-4403
(201) 696-1396
Mailing address
31 LAUREL DR, WAYNE, NJ 07470-4403
(201) 696-1396
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
40QA01243100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01243100
PHYSICAL THERAPY BOARD OF NJ/ DCA
NJ
Enumeration date
03/26/2022
Last updated
03/26/2022
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