Individual
MISS ENRICA GONESTO SECIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
80 RIVER ST, SUITE 5A, HOBOKEN, NJ 07030-5626
(201) 377-1888
Mailing address
8 HEWITT AVE, STATEN ISLAND, NY 10301-4614
(240) 413-7998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01303000
NJ
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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