Mrs. Materesita Ayuban Antonsson, PHYSICALTHERAPIST
Mrs. Materesita Ayuban Antonsson, PHYSICALTHERAPIST is a Physical Therapist in Bloomfield, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2007
Practice location Address checks out
267 Spruce StBloomfield, NJ 07003-3645
Phone: (973) 748-9578
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 40QA00771900 (NJ) |
|---|
Record details
| NPI number | 1164632436 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICALTHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | July 8, 2007 |
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