MATERESITA AYUBAN ANTONSSON

BLOOMFIELD, NJ
NPI1164632436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00771900)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mrs. MATERESITA AYUBAN ANTONSSON Physical Therapist
267 SPRUCE ST
BLOOMFIELD, NJ 07003-3645
Phone number: 973-748-9578
Mailing Address
Mrs. MATERESITA AYUBAN ANTONSSON Physical Therapist
267 SPRUCE ST
BLOOMFIELD, NJ 07003-3645
Phone number: 973-748-9578