RYAN GUEVARA VILLORENTE

WEST ORANGE, NJ
NPI1043337215
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NJ  40QB00235000)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
Mr. RYAN GUEVARA VILLORENTE PTA
21 SUMMIT ST
WEST ORANGE, NJ 07052-1501
Phone number: 973-736-2000
Mailing Address
Mr. RYAN GUEVARA VILLORENTE PTA
21 MERKEL DR
BLOOMFIELD, NJ 07003-3126
Phone number: 973-262-4399
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