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Individual

MRS. ANGELA LUCIANO-CHAMPOUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
70 LEROY AVE, BERLIN, NJ 08009-2125
(856) 340-1518
Mailing address
70 LEROY AVE, BERLIN, NJ 08009-2125
(856) 340-1518

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00486600
NJ

Other

Enumeration date
10/15/2009
Last updated
02/07/2012
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