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

BLADDYMIR CORONEL

Active Sole Proprietor

BLADDYMIR CORONEL is a Physical Therapy Assistant healthcare provider located in BLOOMINGDALE, New Jersey. NPI 1407369846 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BLOOMINGDALE, NJ

Registration Details

NPI Number
1407369846
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2017 (8.7575679601692 yrs)
Last Updated
Nov 7, 2017
License
QA00467400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
258 ANDREW PL
BLOOMINGDALE, NJ, 074031524
Browse NJ providers · Browse ZIP 07403
Phone
2017048134
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BLOOMINGDALE, NJ

Name Credential NPI
DR. NICOLE ORECCHIO PT, DPT 1780153494
DARDAN QOSJA DPT 1770154692
MEET KASHYAP POTA PT 1871489732
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.