Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Gina Dazos

Individual provider Physical Therapy Assistant · NPI 1548686991

MS. Gina Dazos is a Physical Therapy Assistant in Maplewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014

Practice location Address checks out

333 Elmwood Ave
Maplewood, NJ 07040
Phone: (973) 313-2104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00100800 (NJ)

Record details

NPI number1548686991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2014
Last updated in NPPESMarch 10, 2014
Mailing address92 Mildred Terrace, Clark, NJ 07066

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