MARY GLENN PIELAGO TAN

JERSEY CITY, NJ
NPI1609091305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00724900)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
Mrs. MARY GLENN PIELAGO TAN PT
62 GRIECO DR
JERSEY CITY, NJ 07305-4898
Phone number: 201-451-3733
Mailing Address
Mrs. MARY GLENN PIELAGO TAN PT
62 GRIECO DR
JERSEY CITY, NJ 07305-4898
Phone number: 201-451-3733