Individual
MR. ARCHIEVAL JOHN ROSLYN ORDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
118 PARSONAGE RD, ROOSEVELT CARE CENTER, EDISON, NJ 08837
(732) 321-6800
Mailing address
4001 CRAWFORD CT, BRIDGEWATER, NJ 08807-3533
(908) 265-5357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01002100
NJ
Other
Enumeration date
05/03/2007
Last updated
02/06/2009
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