Individual
MR. RALPH ANTHONY DIIORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT / ATC
Contact information
Practice address
OLD BRIDGE HIGH SCHOOL, 4209 HIGHWAY 516, MATAWAN, NJ 07747-0774
(732) 290-3900
Mailing address
204 SENECA BLVD, BARNEGAT, NJ 08005-2801
(908) 591-2926
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00025600
NJ
261QP2000X
Physical Therapy Clinic/Center
40QA00620600
NJ
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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