ERIKA FEDORSOVA

WHITING, NJ
NPI1053753004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NJ  40QB00289900)
Enumeration Date2013-07-18
Last Update Date2013-07-18
Business Address
Ms. ERIKA FEDORSOVA PTA
149 MOCKINGBIRD WAY
WHITING, NJ 08759-3709
Phone number: 732-350-2306
Mailing Address
Ms. ERIKA FEDORSOVA PTA
149 MOCKINGBIRD WAY
WHITING, NJ 08759-3709
Phone number: 732-350-2306
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