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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MATERESITA AYUBAN ANTONSSON, PHYSICAL THERAPIST

Active Sole Proprietor

MRS. MATERESITA AYUBAN ANTONSSON, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in BLOOMFIELD, New Jersey. NPI 1164632436 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BLOOMFIELD, NJ

Registration Details

NPI Number
1164632436
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2007 (19.196038386089 yrs)
Last Updated
Jul 8, 2007
License
40QA00771900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
267 SPRUCE ST
BLOOMFIELD, NJ, 070033645
Browse NJ providers · Browse ZIP 07003
Phone
9737489578
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BLOOMFIELD, NJ

Name Credential NPI
MRS. ANA L POZZOLI P.T. 1134181886
MARK ANTHONY ARLES 1699726042
GARRY SANCHEZ P.T. 1427000611
MRS. JOANNE COOLACK P.T. 1679510085
ANNA TERESA JAVELONA ZAMORA P.T. 1346285798
MARI GALICIA R.P.T. 1578599965
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.