Individual
AIMEE ANGUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
87 SUMMIT AVE, 2ND FLOOR, HACKENSACK, NJ 07601-1262
(201) 488-7905
(201) 488-7901
Mailing address
4175 VETERANS MEMORIAL HWY, SUITE 202, RONKONKOMA, NY 11779-7639
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01064200
LICENSE #
NJ
Enumeration date
08/23/2006
Last updated
11/23/2009
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