Individual
VICTORIA IONE CANARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
900 NORTHROP RD, WALLINGFORD, CT 06492-1997
(203) 949-1534
(203) 949-9036
Mailing address
17 N MAIN ST, MARLBORO, NJ 07746-1439
(732) 431-2155
(732) 707-3920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01649000
NJ
Other
Enumeration date
04/01/2011
Last updated
09/02/2016
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