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Individual

DR. DEIRDRE DE VERE COLASUONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, MS, ATC

Contact information

Practice address
11 EAGLE ROCK AVENUE, EAST HANOVER, EAST HANOVER, NJ 07936
(973) 887-9000
(973) 887-3654
Mailing address
11 EAGLE ROCK AVE, STE 201, EAST HANOVER, NJ 07936-3167

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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