Nicolina Pentrelli Deraco, LPT
NPI #1487691523 in East Hanover, New Jersey
Provider Information
- NPI Number
- 1487691523
- Entity Type
- Individual
- Name
- Nicolina Pentrelli Deraco, LPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LPT
- Enumeration Date
- May 31, 2006
- Last Updated
- Aug 13, 2013
Practice Location
- Address
- 11 EAGLE ROCK AVE
- City
- East Hanover
- State
- New Jersey
- ZIP Code
- 07936-3167
- Phone
- (197) 388-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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