Individual
MICHAEL MIRABUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
1175 ROOSEVELT AVE, CARTERET, NJ 07008-1536
(732) 541-2233
(732) 541-2237
Mailing address
1002 MAIN ST, FORDS, NJ 08863-1514
(732) 407-6308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01300700
NJ
Other
Enumeration date
12/18/2008
Last updated
03/15/2018
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