Individual
MR. PHILIPS J VILLASURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 VETERANS WAY, PARAMUS, NJ 07652-4100
(201) 634-8246
(201) 599-0390
Mailing address
45 MARGARET CT, DUMONT, NJ 07628-2014
(201) 244-5017
(201) 599-0390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00221000
NJ
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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