Bladdymir Coronel

NPI #1407369846 in Bloomingdale, New Jersey

Provider Information

NPI Number: 1407369846
Entity Type: Individual
Name: Bladdymir Coronel
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 7, 2017
Last Updated: Nov 7, 2017

Practice Location

Address: 258 ANDREW PL
City: Bloomingdale
State: New Jersey
ZIP Code: 07403-1524
Phone: (201) 704-8134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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