MR. Ryan Fayluga Acolicol, PT

NPI #1679946750 in Leonia, New Jersey

Provider Information

NPI Number: 1679946750
Entity Type: Individual
Name: MR. Ryan Fayluga Acolicol, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 11, 2015
Last Updated: Nov 11, 2015

Practice Location

Address: 55 LAKEVIEW AVE APT A
Address 2: LEONIA
City: Leonia
State: New Jersey
ZIP Code: 07605-3102
Phone: (917) 691-5201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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