Individual
MRS. SUREE WANAGOSIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
404 HAWKSHEAD WAY, SOMERSET, NJ 08873-4967
(732) 873-1787
(732) 873-7660
Mailing address
404 HAWKSHEAD WAY, SOMERSET, NJ 08873-4967
(732) 873-1787
(732) 873-7660
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
022760-1
NY
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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