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1346903788
DIANA MEDINA
MORRISTOWN, NJ
NPI
1346903788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00387700)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
DIANA MEDINA
77 MADISON AVE
MORRISTOWN, NJ 07960-7330
Phone number: 973-540-9800
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Mailing Address
DIANA MEDINA
378 BLOOMFIELD AVE
VERONA, NJ 07044-2428
Phone number: 862-258-5963
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