DANIEL LICAMARA

WAYNE, NJ
NPI1689344574
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NJ  40QB00386400)
Enumeration Date2021-09-14
Last Update Date2021-09-14
Business Address
DANIEL LICAMARA
1055 HAMBURG TPKE
WAYNE, NJ 07470-3235
Phone number: 973-559-4056
Mailing Address
DANIEL LICAMARA
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859