MISS Gina Otilia Heredea, P.T.
NPI #1003984451 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1003984451
- Entity Type
- Individual
- Name
- MISS Gina Otilia Heredea, P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Dec 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6 HORIZON RD APT 512
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024-6606
- Phone
- (551) 221-0660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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