GERALD PONCE IGOT

FAIR LAWN, NJ
NPI1316091721
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00837800)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
Mr. GERALD PONCE IGOT PT
15-01 BROADWAY SUITE30A
FAIR LAWN, NJ 07410-6003
Phone number: 201-703-7107
Mailing Address
Mr. GERALD PONCE IGOT PT
39-37 WENONAH DR
FAIR LAWN, NJ 07410-5424
Phone number: 201-791-1644
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