VINCENT GARY PETRACCO

WALL TOWNSHIP, NJ
NPI1619487444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01741300)
Enumeration Date2017-10-06
Last Update Date2020-02-07
Business Address
VINCENT GARY PETRACCO DPT
4810 BELMAR BLVD
WALL TOWNSHIP, NJ 07753-6952
Phone number: 732-938-5333
Mailing Address
VINCENT GARY PETRACCO DPT
2 WORLDS FAIR DR
SOMERSET, NJ 08873-1369
Phone number: 732-537-0909