CHISAKO SUGIYAMA
Restorative Service Providers at Park Ave, Rutherford, NJ

License number
New Jersey 40QB00290500
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
200 Park Ave APT 5, Rutherford, NJ 07070
Phone
(201) 317-5588
National Provider ID: 1568851210
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Chisako Sugiyama
75 Randolph Pl, West Orange, NJ 07052
(973) 669-1792

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