Sembrano, Mary Grace Fondevilla

Sembrano, Mary Grace Fondevilla is an individual health care provider with primary practice located at 527 River Ave , Lakewood NJ 08701. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Sembrano, Mary Grace Fondevilla can be contacted via phone (732) 905-0700.

Contact Information

Primary practice address
527 River Ave Lakewood NJ 08701
Phone: (732) 905-0700
Fax: (732) 364-4566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 40QA01021100 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01021100 New Jersey

Profile Details

NPI number 1851327258
LBN Legal business name Sembrano, Mary Grace Fondevilla
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers