Individual
MRS. ELISA BAUN RESUELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
140 DELONG AVE, DUMONT, NJ 07628-1335
(347) 697-5411
Mailing address
140 DELONG AVE, DUMONT, NJ 07628-1335
(347) 697-5411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013421
NY
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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