Montclair State University

NPI #1932840691 in Little Falls, New Jersey

Provider Information

NPI Number: 1932840691
Entity Type: Organization
Organization Name: Montclair State University
Primary Specialty: Physical Therapist
Enumeration Date: Apr 6, 2022
Last Updated: Apr 6, 2022

Practice Location

Address: 80 CLOVE RD
City: Little Falls
State: New Jersey
ZIP Code: 07424-2102
Phone: (973) 655-7991

Authorized Official

Name: LYUDMYLA YAKUBOV
Title: DIRECTOR
Phone: (973) 655-7587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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