MR. Rey Moises Fajardo Vitug, PTA
NPI #1538331442 in Orange, New Jersey
Provider Information
- NPI Number
- 1538331442
- Entity Type
- Individual
- Name
- MR. Rey Moises Fajardo Vitug, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 31, 2008
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 560 BERKELEY AVE
- City
- Orange
- State
- New Jersey
- ZIP Code
- 07050-2109
- Phone
- (973) 672-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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