# ANDREW ATALLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295134468
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01805500 | NJ | Yes |
| 225200000X | Physical Therapy Assistant | 40QB00311300 | NJ | — |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 02/13/2020