MR. Reggie C Mattappallil, PTA
NPI #1093935595 in West Caldwell, New Jersey
Provider Information
- NPI Number
- 1093935595
- Entity Type
- Individual
- Name
- MR. Reggie C Mattappallil, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Credential
- PTA
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 459 PASSAIC AVE
- City
- West Caldwell
- State
- New Jersey
- ZIP Code
- 07006-7457
- Phone
- (973) 276-7887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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