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Mr. GLENN TWAIN MANANSALA DELROSARIO --

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1669876793
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
174 OVERLOOK CT, WOODBRIDGE, NJ, 070951454
Phone
(732) 306-8521

Specialties & Taxonomies

Physical Therapy Assistant Primary License: NY #0007389

All Addresses

MAILING

174 OVERLOOK CT

WOODBRIDGE, NJ, 070951454

(732) 306-8521

LOCATION

174 OVERLOOK CT

WOODBRIDGE, NJ, 070951454

(732) 306-8521