Individual
BERNADETTE VENERACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 OAK DR, CEDAR GROVE, NJ 07009-1033
(973) 704-5758
Mailing address
44 MSGR WOJTYCHA DR, JERSEY CITY, NJ 07305-4890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
26006
NY
225100000X
Physical Therapist
Primary
40QA01138300
NJ
Other
Enumeration date
11/03/2006
Last updated
12/12/2011
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