Eugene Medina, PT
Physical Therapist in Galloway, NJ. Individual provider (NPI-1).
NPI number1003133687
StatusActive
Last updated in NPPESApr 22, 2010
Details
- NPI
- 1003133687
- Entity type
- Individual (NPI-1)
- Name
- Eugene Medina
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2010
- Last updated
- Apr 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01341000 | NJ | Yes |
Practice location
4 E Jimmie Leeds RdSte 3
Galloway, NJ 08205-4465
Phone 609-748-4288 · Fax 609-748-4282
Mailing address
4175 Veterans Memorial HwySuite 202
Ronkonkoma, NY 11779-7639
Phone 631-580-5200 · Fax 631-580-5222
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All 47 Physical Therapist providers in Galloway · All 692 providers in Galloway
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