JOSE BACOLOD

SADDLE BROOK, NJ
NPI1972558260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01062200)
Enumeration Date2006-05-24
Last Update Date2013-06-18
Business Address
-- JOSE BACOLOD RPT
15 N STREET SUITE 106
SADDLE BROOK, NJ 07663-9999
Phone number: 201-250-8808
Mailing Address
-- JOSE BACOLOD RPT
15 N 5TH ST STE 106
SADDLE BROOK, NJ 07663-6156
Phone number: 201-250-8808