Individual
MR. RONNIE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A., AOEAS
Contact information
Practice address
100 E MAPLE ST, TEANECK, NJ 07666-3800
(201) 921-0530
Mailing address
100 E MAPLE ST, TEANECK, NJ 07666-3800
(201) 921-0530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB001834
NJ
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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