Provider Demographics
NPI:1356362131
Name:TORRES, VERONICA (PT)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 MILLBURN AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1718
Mailing Address - Country:US
Mailing Address - Phone:973-258-1900
Mailing Address - Fax:973-258-1901
Practice Address - Street 1:7 PARLIN DR
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-2241
Practice Address - Country:US
Practice Address - Phone:732-238-8484
Practice Address - Fax:732-238-3031
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA4001083100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist