Individual
ANDY DESORMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 W HUDSON AVE, ENGLEWOOD, NJ 07631-1609
(201) 871-8882
Mailing address
155 W HUDSON AVE, ENGLEWOOD, NJ 07631-1609
(201) 871-8882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00288600
NJ
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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