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Individual

AILENE MATUSEVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 18, POMPTON LAKES, NJ 07442-0018
(551) 804-5854
Mailing address
PO BOX 18, POMPTON LAKES, NJ 07442-0018
(551) 804-5854

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01563300
NJ

Other

Enumeration date
01/26/2017
Last updated
11/03/2025
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