Individual
MISS FATIMA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 KEARNY AVE, KEARNY, NJ 07032-3003
(610) 559-4875
Mailing address
711 KEARNY AVE, KEARNY, NJ 07032-3003
(610) 559-4875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040042
NY
225100000X
Physical Therapist
Primary
40QA01723100
NJ
Other
Enumeration date
04/05/2017
Last updated
04/11/2017
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