Individual
RUTANA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DAVID BRAINERD DR, MONROE, NJ 08831-1927
(732) 521-6663
Mailing address
108 HOLLAND DR, SOMERSET, NJ 08873-4658
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00237200
NJ
314000000X
Skilled Nursing Facility
40QB00237200
NJ
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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