Individual
DAYLE J FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.P.T.
Contact information
Practice address
116 MARSHALL DR, EGG HARBOR TOWNSHIP, NJ 08234-6008
(609) 204-4849
(609) 653-1258
Mailing address
10325 BUENA VENTURA DR, BOCA RATON, FL 33498-6711
(609) 204-4849
(609) 653-1258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00698800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00698800
STATE LICENSE
NJ
01
—
PT27580
STATE LICENSE
FL
Enumeration date
08/26/2010
Last updated
05/14/2013
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