Individual
ANGELITO ANONUEVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 GRANDVIEW ST, MIDDLESEX, NJ 08846-1578
(732) 926-8512
Mailing address
705 GRANDVIEW ST, MIDDLESEX, NJ 08846-1578
(732) 926-8512
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
015237
NY
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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