VISALAM VASANTH

SECAUCUS, NJ
NPI1144618901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01545500)
Enumeration Date2015-01-02
Last Update Date2015-01-02
Business Address
Dr. VISALAM VASANTH DPT
7457 RIVERSIDE STATION BLVD
SECAUCUS, NJ 07094-4458
Phone number: 201-822-1613
Mailing Address
Dr. VISALAM VASANTH DPT
7457 RIVERSIDE STATION BLVD
SECAUCUS, NJ 07094-4458
Phone number: 201-822-1613
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