Individual
DR. DEIRDRE DE VERE COLASUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01283800
NJ
2255A2300X
Athletic Trainer
25MT00141000
NJ
Other
Enumeration date
10/16/2008
Last updated
01/25/2017
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