Individual
JASON PETER CECILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-7887
Mailing address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00309400
NJ
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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