Individual
BARBARA A DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3140 VINE RD, VINELAND, NJ 08360-9232
(856) 507-1494
Mailing address
3140 VINE ROAD, VINELAND, NJ 08360
(856) 507-1494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00544700
NJ
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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