Individual
NANCY VASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30 TRENTO ST, ISELIN, NJ 08830
(212) 518-7536
Mailing address
30 TRENTO ST, ISELIN, NJ 08830-1431
(212) 518-7536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05229-1
NY
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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