Therapist At Home Llc | |
39 Black Oak Ln, Mahwah, NJ 07430-1349 | |
(201) 675-7523 | |
Not Available |
Full Name | Therapist At Home Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 39 Black Oak Ln, Mahwah, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245932946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Hemal A Vyas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639401284 PECOS PAC ID: 1254598378 Enrollment ID: I20190611001722 |
Mailing Address | Practice Location Address |
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Therapist At Home Llc 39 Black Oak Ln, Mahwah, NJ 07430-1349 Ph: () - | Therapist At Home Llc 39 Black Oak Ln, Mahwah, NJ 07430-1349 Ph: (201) 675-7523 |
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