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Physical Therapist

NPI: 1578178604IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

40QA01956200(NJ)

Education

OTHER

Class of 2020

Contact & Hours

Address
390 ROUTE NJ 10, SUITE 202
RANDOLPH, NJ 07869

Quick Facts

NPI
1578178604
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
6

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