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Michelle Vieira, PTA
Assisted Living Facility in Cedar Grove, New Jersey
NPI 1790225365

Michelle Vieira is an Assisted Living Facility based in Cedar Grove, NJ. Michelle Vieira practices in Cedar Grove, NJ and has the professional credentials of PTA. The NPI Number for Michelle Vieira is 1790225365 and holds a License No. 40QB00323100 (New Jersey).

The current practice location address for Michelle Vieira is 52 Pine Dr, Cedar Grove, NJ and can be reached out via phone at 862-216-0872.

Location: 52 Pine Dr, Cedar Grove, NJ, 07009-1036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790225365
Provider Name
Michelle Vieira
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
52 Pine Dr, Cedar Grove, NJ, 07009-1036
Phone Number
862-216-0872
Fax Number
Provider Enumeration Date
03/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40QB00323100 01 NJ PHYSICAL THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
52 Pine Dr
City
Cedar Grove
State
New Jersey
Zip
07009-1036
Phone Number
862-216-0872
Fax Number
person
Provider Business Mailing Address Details
Address
52 Pine Dr
City
Cedar Grove
State
New Jersey
Zip
07009-1036
Phone Number
862-216-0872
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
40QB00323100 (New Jersey)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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