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Leonardo Vega

Physical Therapy Assistant in Cedar Grove, NJ. Individual provider (NPI-1).

NPI number1740693290
StatusActive
Last updated in NPPESJun 3, 2014

Details

NPI
1740693290
Entity type
Individual (NPI-1)
Name
Leonardo Vega
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 3, 2014
Last updated
Jun 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTAQBO1470NJYes

Practice location

536 Ridge Rd
Cedar Grove, NJ 07009-1611

Phone 973-239-9300

Mailing address

66 W Bradford Ave
Cedar Grove, NJ 07009-1804

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Other Physical Therapy Assistant providers in Cedar Grove, NJ

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