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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 - Phone
- (973) 895-9925
Quick Facts
- NPI
- 1578178604
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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