| Doctor Name: | THEA OMEGA JARDINIANO DELA CUESTA |
| NPI Number: | 1619187424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 40QA01055700 |
| Business Practice Address: | 125 Washington Ave Dumont, NJ - 076283066 |
| Business Phone Number: | 2013856272 |
| Business Fax Number: | 2013857410 |
| Mailing Address: | 482 Lawrence St, MAYWOOD |
| State: | NJ |
| Postal Code: | 076071260 |
| Phone Number: | 2018806258 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01055700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |