SHANTAL TAGALOG TUBALADO
Individual Provider (NPI-1)
Active
Clinic/Center, Physical Therapy
Provider Information
- NPI Number
1528836038- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9 HARBOR FRONT CT, ELIZABETH, NJ, 072061951
- Phone
- (848) 236-6636
Specialties & Taxonomies
Clinic/Center, Physical Therapy
Primary License: NY #050083