NPI 1538632542

Andy Desormes

Practitioner Physical Therapy Assistant Englewood, NJ

Practice location

Address: 155 W Hudson Ave, Englewood, NJ 07631-1609
Phone: (201) 871-8882

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00288600 (NJ)

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Registry record

NPI: 1538632542
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2019
Record last updated: 3 Jan 2019

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.