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

MR. BOEMBOY M VENDIOLA

Active Sole Proprietor

MR. BOEMBOY M VENDIOLA is a Physical Therapy Assistant healthcare provider located in WAYNE, New Jersey. NPI 1689721862 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WAYNE, NJ

Registration Details

NPI Number
1689721862
Provider Type
Individual
Gender
Male
NPI Issued
Jan 3, 2007 (19.620413538319 yrs)
Last Updated
Jul 8, 2007
License
40QA01189500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
401 HAMBURG TPKE STE 102
WAYNE, NJ, 074702139
Browse NJ providers · Browse ZIP 07470
Phone
2017942121
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WAYNE, NJ

Name Credential NPI
MR. KENNETH HOWARD MAILLY P.T. 1275522336
ASHRAF SAAD DPT 1639111909
MICHAEL S. HOLMGREN PT, DPT 1629093679
HEATHER ANN HEANEY DPT 1225050362
ERICA L. GARBARINI PT 1902811797
MONICA L CARRERO D.P.T. 1750390324
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.