Provider Demographics
NPI:1629533278
Name:VASQUEZ-PAPARO, AYLWIN
Entity Type:Individual
Prefix:
First Name:AYLWIN
Middle Name:
Last Name:VASQUEZ-PAPARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 JACQUELINE CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-5695
Mailing Address - Country:US
Mailing Address - Phone:347-827-7945
Mailing Address - Fax:
Practice Address - Street 1:90 EAST HALSEY RD, STE 333 #2273
Practice Address - Street 2:
Practice Address - City:PARSIPANNY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:732-232-5795
Practice Address - Fax:609-901-3544
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01516500225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist