Provider Demographics
NPI:1457114860
Name:AMAYA-GARCIA, VERONICA ARELY
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ARELY
Last Name:AMAYA-GARCIA
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 1:310 SCHWARTZ PL FL 2
Mailing Address - Street 2:
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1046
Mailing Address - Country:US
Mailing Address - Phone:908-456-4757
Mailing Address - Fax:
Practice Address - Street 1:310 SCHWARTZ PL FL 2
Practice Address - Street 2:
Practice Address - City:DUNELLEN
Practice Address - State:NJ
Practice Address - Zip Code:08812-1046
Practice Address - Country:US
Practice Address - Phone:908-456-4757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist