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Organization
MAUREEN BRODERICK WILHELM, LPT, PA
Active
Organization
MAUREEN BRODERICK WILHELM, LPT, PA
Active
Other names
Sports Training Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN BRODERICK WILHELM PT (OWNER)
(973) 467-7976
Entity
Organization
Contact information
Practice address
187 MILLBURN AVE, SUITE 110, MILLBURN, NJ 07041-1847
(973) 467-7976
(973) 467-7971
Mailing address
187 MILLBURN AVE, SUITE 110, MILLBURN, NJ 07041-1847
(973) 467-7976
(973) 467-7971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00333800
NJ
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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