Michael James Wylykanowitz JR., DPT

NPI #1457647307 in Warren, New Jersey

Provider Information

NPI Number: 1457647307
Entity Type: Individual
Name: Michael James Wylykanowitz JR., DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 20, 2011
Last Updated: Jan 26, 2016

Practice Location

Address: 34 MOUNTAIN BLVD
Address 2: BUILDING C
City: Warren
State: New Jersey
ZIP Code: 07059-2640
Phone: (908) 222-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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