Individual
MRS. CARMENCITA ANDREA BANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13 SUNSET AVE, BAYONNE, NJ 07002-2209
(201) 436-6966
Mailing address
13 SUNSET AVE, BAYONNE, NJ 07002-2209
(201) 436-6966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00685800
NJ
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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