Prospero A Tayco P.T.

NPI 1063734705 - Physical Therapist - 225100000X

NPI Details
NPI 1063734705
Gender Male
Enumeration Date 02/22/2010
Last Updated 02/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
113 WOODMERE ST
RARITAN NJ, 08869-1636, US
Phone (908) 707-9079
Fax
Business Location
113 WOODMERE ST
RARITAN NJ, 08869-1636, US
Phone (908) 707-9079
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number 40QA00587900
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According to our database, Mr. Prospero A Tayco P.T. NPI is 1063734705, taxonomy code is 225100000X and license number is 40QA00587900, license state is located at New Jersey. Prospero A Tayco P.T. physically located at 113 Woodmere St, Raritan NJ, 08869-1636. NPI Number Prospero A Tayco P.T. has the Individual type.

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1063734705 NPI number is provided on an as is basis without warranty of any kind. 1063734705 is maintained by the National Plan & Provider Enumeration System. The contents of Prospero A Tayco P.T. are for informational purposes only.