Individual
RENATA TUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3161 KENNEDY BLVD, NORTH BERGEN, NJ 07047-2303
(201) 867-3585
Mailing address
20B TRIUMPH CT, EAST RUTHERFORD, NJ 07073-1147
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00257500
NJ
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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