GINA OTILIA HEREDEA

FORT LEE, NJ
NPI1003984451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01089000)
Enumeration Date2006-12-02
Last Update Date2007-07-08
Business Address
MISS GINA OTILIA HEREDEA P.T.
6 HORIZON RD APT 512
FORT LEE, NJ 07024-6606
Phone number: 551-221-0660
Mailing Address
MISS GINA OTILIA HEREDEA P.T.
6 HORIZON RD APT 512
FORT LEE, NJ 07024-6606
Phone number: 551-221-0660
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