Individual
MR. JOHN MICHAEL DELLOSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1940 S WEST BLVD STE A102, VINELAND, NJ 08360-7024
(856) 690-9977
Mailing address
7 FRAZIER AVE, BRIDGETON, NJ 08302-1451
(609) 315-6268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00386000
NJ
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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