Leonardo Vega

NPI 1740693290 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1740693290
Gender Male
Enumeration Date 06/03/2014
Last Updated 06/03/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
536 RIDGE RD
CEDAR GROVE NJ, 07009-1611, US
Phone (973) 239-9300
Fax
Business Location
66 W BRADFORD AVE
CEDAR GROVE NJ, 07009-1804, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State New Jersey
License Number PTAQBO1470
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According to our database, Leonardo Vega NPI is 1740693290, taxonomy code is 225200000X and license number is PTAQBO1470, license state is located at New Jersey. Leonardo Vega physically located at 536 Ridge Rd, Cedar Grove NJ, 07009-1611. NPI Number Leonardo Vega has the Individual type.

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1740693290 NPI number is provided on an as is basis without warranty of any kind. 1740693290 is maintained by the National Plan & Provider Enumeration System. The contents of Leonardo Vega are for informational purposes only.