Provider Demographics
NPI:1558454959
Name:CESARI-REDONDO, MARIA L (PT, MSPT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:L
Last Name:CESARI-REDONDO
Suffix:
Gender:F
Credentials:PT, MSPT
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:REDONDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:70 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1520
Mailing Address - Country:US
Mailing Address - Phone:973-868-1755
Mailing Address - Fax:
Practice Address - Street 1:70 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305
Practice Address - Country:US
Practice Address - Phone:973-868-1755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01153900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist