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Organization
MY PT
Active
Organization
MY PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE SANTANIELLO (VICE PRESIDENT)
(201) 261-0067
Entity
Organization
Contact information
Practice address
16 WILLOWBROOK DR, NORTH CALDWELL, NJ 07006-4409
(201) 694-7738
Mailing address
PO BOX 122, LITTLE FALLS, NJ 07424-0122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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