MICHELLE GALLARDO BANSAGAN ENCABO

NEWARK, NJ
NPI1992084867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01340100)
Enumeration Date2011-08-10
Last Update Date2017-04-10
Business Address
-- MICHELLE GALLARDO BANSAGAN ENCABO P.T.
902 N 5TH ST UNIT C-103
NEWARK, NJ 07107-4804
Phone number: 973-732-4822
Mailing Address
-- MICHELLE GALLARDO BANSAGAN ENCABO P.T.
408 POMPTON AVE
CEDAR GROVE, NJ 07009-1813
Phone number: 973-433-0732
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