Individual
MS. DEO GRACE M POLICARPIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
760 AMBOY AVE, EDISON, NJ 08837-3224
(732) 661-1121
(732) 661-1151
Mailing address
217 WATERFORD DR, EDISON, NJ 08817-1915
(732) 662-1934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01083700
NJ
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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