NPI 1003552266

Andrew Reissig, PTA

Practitioner Physical Therapy Assistant Wyckoff, NJ

Practice location

Address: 301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone: (201) 824-5624
Mailing address: 64 E Johnson Ave, Bergenfield, NJ 07621-1817

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00196400 (NJ)

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Registry record

NPI: 1003552266
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2022
Record last updated: 10 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.