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-- NELSON AVBADEVBORO --

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1427454966
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
710 MILL ST UNIT H3, BELLEVILLE, NJ, 071095318
Phone
(973) 759-1494
Fax
(973) 759-0557

Specialties & Taxonomies

Physical Therapy Assistant Primary License: NJ #40QB00292100

All Addresses

MAILING

543 FOREST AVE

LYNDHURST, NJ, 070712437

(347) 665-5629

LOCATION

710 MILL ST UNIT H3

BELLEVILLE, NJ, 071095318

(973) 759-1494