NPI 1720324080

Susan Thomas, PTA

Practitioner Physical Therapy Assistant Wyckoff, NJ

Practice location

Address: 301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone: (201) 848-4323
Mailing address: 20 Stevens Dr, Dumont, NJ 07628-1022

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00208900 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1720324080
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2012
Record last updated: 13 Dec 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.