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Individual

MISS NORPHINE ANTONANO JALANDO-ON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
926 BLOOMFIELD AVE, 1K, GLEN RIDGE, NJ 07028-1330
(561) 303-7357
Mailing address
926 BLOOMFIELD AVE, 1K, GLEN RIDGE, NJ 07028-1330
(561) 303-7357

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
038955
NY
2251P0200X
Pediatric Physical Therapist
Primary
038955
NY
2251X0800X
Orthopedic Physical Therapist
038955
NY
225200000X
Physical Therapy Assistant
160006409
IL

Other

Enumeration date
08/07/2013
Last updated
08/30/2016
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