NPI 1003133687

Eugene Medina, PT

Practitioner Physical Therapist Galloway, NJ

Practice location

Address: 4 E Jimmie Leeds Rd STE 3, Galloway, NJ 08205-4465
Phone: (609) 748-4288
Fax: (609) 748-4282
Mailing address: 4175 Veterans Memorial Hwy Suite 202, Ronkonkoma, NY 11779-7639

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 40QA01341000 (NJ)

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Registry record

NPI: 1003133687
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2010
Record last updated: 22 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.