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Marvin Antonio

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

NPI number1982206132
StatusActive
Last updated in NPPESNov 12, 2020

Details

NPI
1982206132
Entity type
Individual (NPI-1)
Name
Marvin Antonio
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 12, 2020
Certification date
Nov 10, 2020
Last updated
Nov 12, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist40QA01712600NJYes

Practice location

1750 Nj-37
Toms River, NJ 08757

Phone 732-914-0090

Mailing address

903 Alpine St
Forked River, NJ 08731-1152

Other practice locations

4 Plaza Dr
Toms River, NJ 08757-3756

Phone 732-240-0900

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