NPI 1023605110

Omprakash Gangappagari, PTA

Practitioner Physical Therapy Assistant Millburn, NJ

Practice location

Address: 33 Bleeker St Fl 2, Millburn, NJ 07041-1459
Phone: (718) 377-5000
Fax: (718) 377-5002

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 012708 (NY)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1023605110
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2020
Record last updated: 23 Dec 2020

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.