Ditchfield Physical Therapy

NPI #1366875460 in Montclair, New Jersey

Provider Information

NPI Number: 1366875460
Entity Type: Organization
Organization Name: Ditchfield Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Aug 13, 2013
Last Updated: Aug 13, 2013

Practice Location

Address: 141 WALNUT ST APT 2
City: Montclair
State: New Jersey
ZIP Code: 07042-3885
Phone: (201) 888-0444

Authorized Official

Name: RUSSELL K. DITCHFIELD-AGBOH, P.T.
Title: OWNER
Phone: (201) 888-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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