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Individual

APOLLO PARANAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 US HIGHWAY 9, LANOKA HARBOR, NJ 08734-2213
(609) 242-2661
Mailing address
59 TUSCANY DR, JACKSON, NJ 08527-3169

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00590200
NJ

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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