MRS. Mary Rachel Portillo Lozada, PT
NPI #1144778606 in Bergenfield, New Jersey
Provider Information
- NPI Number
- 1144778606
- Entity Type
- Individual
- Name
- MRS. Mary Rachel Portillo Lozada, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Physical Therapy
- Credential
- PT
- Enumeration Date
- Sep 13, 2016
- Last Updated
- Sep 13, 2016
Practice Location
- Address
- 108 S WASHINGTON AVE STE B
- City
- Bergenfield
- State
- New Jersey
- ZIP Code
- 07621-2341
- Phone
- (315) 591-5630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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