NPI 1114026176

Barry F Wachtler, PTA

Practitioner Physical Therapy Assistant West Orange, NJ

Practice location

Address: 1500 Pleasant Valley Way Suite 102, West Orange, NJ 07052-2956
Phone: (973) 325-3422
Fax: (973) 325-0825
Mailing address: 161 Millburn Ave, Millburn, NJ 07041-1825

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00206700 (NJ)

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Registry record

NPI: 1114026176
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2006
Record last updated: 8 Jul 2007

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.