Provider Demographics
NPI:1376181560
Name:FIGUEROA, VERONICA (LMT)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 GALESI DR STE 8
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4842
Mailing Address - Country:US
Mailing Address - Phone:201-673-2295
Mailing Address - Fax:
Practice Address - Street 1:50 GALESI DR STE 8
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-4842
Practice Address - Country:US
Practice Address - Phone:201-673-2295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00993700225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ18K00993700OtherLICENSE NUMBER