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Individual
KEITH JOSEPH MONTECALVO
Active
Individual
KEITH JOSEPH MONTECALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT,OCS,MDT,SFMA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01087400
NJ
2251X0800X
Orthopedic Physical Therapist
40QA01087400
NJ
2251X0800X
Orthopedic Physical Therapist
QA10874
NJ
Other
Enumeration date
06/28/2005
Last updated
06/30/2022
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