Individual
MR. ANTHONY PETER IZURIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2300 HAMILTON AVE, HAMILTON, NJ 08619-3007
(609) 588-5823
(609) 588-5580
Mailing address
17 GRACE ST, 2ND FLOOR, BLOOMFIELD, NJ 07003-4719
(973) 634-0633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00220700
NJ
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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