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Organization
SILVER LAKE PHYSICAL THERAPY OF RANDOLPH
Active
Organization
SILVER LAKE PHYSICAL THERAPY OF RANDOLPH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN UMALI-DIZON PT (ADMINISTRATION)
(973) 933-2224
Entity
Organization
Contact information
Practice address
1201 SUSSEX TPKE STE 104, RANDOLPH, NJ 07869-2974
(973) 933-2224
(973) 933-2618
Mailing address
1201 SUSSEX TPKE STE 104, RANDOLPH, NJ 07869-2974
(973) 933-2224
(973) 933-2618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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