person
Jonathan Orio Gonzaga, PT
Specialist in Fair Lawn, New Jersey
NPI 1629248562

Jonathan Orio Gonzaga is a Specialist based in Fair Lawn, NJ. Jonathan Orio Gonzaga practices in Fair Lawn, NJ and has the professional credentials of PT. The NPI Number for Jonathan Orio Gonzaga is 1629248562 and holds a License No. 028580 (New Jersey).

The current practice location address for Jonathan Orio Gonzaga is 14-25 Plaza Rd, Fair Lawn, NJ and can be reached out via phone at 201-797-2050 and via fax at 201-797-2051. You can also correspond with Jonathan Orio Gonzaga through the mailing address at 14-25 PLAZA RD, FAIR LAWN, NJ - 07410-3546 (mailing address contact number: 201-797-2050).

Location: 14-25 Plaza Rd, Fair Lawn, NJ, 07410-3546
person
Provider Profile Details
NPI Number
1629248562
Provider Name
Jonathan Orio Gonzaga
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
14-25 Plaza Rd, Fair Lawn, NJ, 07410-3546
Phone Number
201-797-2050
Fax Number
201-797-2051
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40QA01303200 01 NJ LICENSE
028580 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
14-25 Plaza Rd
City
State
Zip
07410-3546
Phone Number
201-797-2050
Fax Number
201-797-2051
person
Provider Business Mailing Address Details
Address
14-25 Plaza Rd
City
State
Zip
07410-3546
Phone Number
201-797-2050
Fax Number
201-797-2051
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
028580 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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