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Roma Rosas Dizon

Physical Therapist in Columbia, NJ. Individual provider (NPI-1).

NPI number1003192170
StatusActive
Last updated in NPPESAug 29, 2012

Details

NPI
1003192170
Entity type
Individual (NPI-1)
Name
Roma Rosas Dizon
Sex
Female
Sole proprietor
No
Enumeration date
Nov 2, 2011
Last updated
Aug 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT021676PAYes
225100000X Physical Therapist033788-1NY

Practice location

95 Delaware Rd
Columbia, NJ 07832-2301

Phone 954-304-7715

Mailing address

95 Delaware Rd
Columbia, NJ 07832-2301

Phone 954-304-7715

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