Individual
IRYNA V TALERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
425 WOODBURY TURNERSVILLE RD, BLACKWOOD, NJ 08012-2960
(856) 374-6429
Mailing address
425 WOODBURY TURNERSVILLE RD, BLACKWOOD, NJ 08012-2960
(856) 374-6429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01374400
NJ
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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