IndividualActive
Angelica De Vera
NPI 1154998045 · Physical Therapy Assistant · Jersey City, NJ
Provider details
- NPI number
- 1154998045
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 009160 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
20 Tonnele Ave Apt 4c
Jersey City, NJ 07306-5520
Phone: (551) 208-7070
Approximate (ZIP-level) locationGet directions
Mailing address
20 Tonnele Ave Apt 4c
Jersey City, NJ 07306-5520
Registry dates
- Enumerated
- 2021-06-08
- Last updated
- 2021-06-08
- Certified
- 2021-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.