BRIAN NICHOLAS PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1134894843- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 758 STATE ROUTE 18, EAST BRUNSWICK, NJ, 088164910
- Phone
- (732) 254-0090
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NJ #40QB00368000
All Addresses
MAILING
758 ROUTE 18
EAST BRUNSWICK, NJ, 088164910