Individual
EDITHA VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
49 SOMERS AVE, BERGENFIELD, NJ 07621-2607
(917) 459-8033
(201) 244-6632
Mailing address
49 SOMERS AVE, BERGENFIELD, NJ 07621-2607
(917) 459-8033
(201) 244-6632
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
018435
NY
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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