Trevor Fennell

NPI #1619904125 in Ridgewood, New Jersey

Provider Information

NPI Number: 1619904125
Entity Type: Individual
Name: Trevor Fennell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 127 UNION ST
Address 2: SUITE 105
City: Ridgewood
State: New Jersey
ZIP Code: 07450-4478
Phone: (201) 444-4447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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