NPI 1003988932

Johanns Mauricio Gammel, PTA

Practitioner Physical Therapy Assistant Glen Rock, NJ

Practice location

Address: 251 Rock Rd, Glen Rock, NJ 07452-1745
Phone: (201) 445-0900
Mailing address: 52 Andover Ter, Glen Rock, NJ 07452-3719

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00260000 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1003988932
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2006
Record last updated: 12 Apr 2012

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.