MARY RACHEL PORTILLO LOZADA

BERGENFIELD, NJ
NPI1144778606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: NJ  40QA01671600)
Enumeration Date2016-09-13
Last Update Date2016-09-13
Business Address
Mrs. MARY RACHEL PORTILLO LOZADA PT
108 S WASHINGTON AVE STE B
BERGENFIELD, NJ 07621-2341
Phone number: 315-591-5630
Mailing Address
Mrs. MARY RACHEL PORTILLO LOZADA PT
108 S WASHINGTON AVE STE B
BERGENFIELD, NJ 07621-2341
Phone number: 315-591-5630
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