LORRAINE ELLEN DWAILEEBE

NORTH BERGEN, NJ
NPI1033402813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01231600)
Enumeration Date2011-05-26
Last Update Date2011-05-26
Business Address
-- LORRAINE ELLEN DWAILEEBE MSPT
3161 JFK BLVD WEST
NORTH BERGEN, NJ 07047
Phone number: 201-867-3585
Mailing Address
-- LORRAINE ELLEN DWAILEEBE MSPT
1025 MAXWELL LN #310
HOBOKEN, NJ 07030-6823
Phone number: 201-937-2758
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