Sean Niko Tesoro-Racelis, DPT
Physical Therapist in Jersey City, NJ. Individual provider (NPI-1).
NPI number1063001048
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1063001048
- Entity type
- Individual (NPI-1)
- Name
- Sean Niko Tesoro-Racelis
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2021
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01924500 | NJ | Yes |
Practice location
355 Grand StJersey City, NJ 07302-4321
Phone 201-915-2000
Mailing address
1104 Heckel DrMountainside, NJ 07092-2029
Phone 908-868-9227
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All 274 Physical Therapist providers in Jersey City · All 4,613 providers in Jersey City
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