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1750657367
ELENA M SMITH
BLOOMFIELD, NJ
NPI
1750657367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00262100)
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
Ms. ELENA M SMITH PTA
250 BLOOMFIELD AVE
BLOOMFIELD, NJ 07003-5689
Phone number: 973-743-2461
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Mailing Address
Ms. ELENA M SMITH PTA
10 WELLS CT
BLOOMFIELD, NJ 07003-3042
Phone number: 973-338-0623
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