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Individual

MR. JERICHO GEVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
120 NOYES DR, ATRIUM POST ACUTE CARE OF PARK RIDGE -REHAB DEPT, PARK RIDGE, NJ 07656-1294
(201) 505-1777
Mailing address
278 E CLINTON AVE, BERGENFIELD, NJ 07621-3203

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00729600
NJ

Other

Enumeration date
08/11/2015
Last updated
08/11/2015
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