Individual
JANETTE VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 ALLWOOD RD, CLIFTON, NJ 07012-1988
(973) 928-3590
Mailing address
81 MARKET ST APT 1, GARFIELD, NJ 07026-3722
(201) 898-3415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00324900
NJ
Other
Enumeration date
11/19/2015
Last updated
01/08/2017
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