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Organization
MONTCLAIR STATE UNIVERSITY
Active
Organization
MONTCLAIR STATE UNIVERSITY
Active
Other names
MSU Ben Samuels Children's Center, Montclair State University-Demonstration Program
Organization subpart
No
Provider details
NPI number
Authorized official
LYUDMYLA YAKUBOV (DIRECTOR)
(973) 655-7587
Entity
Organization
Contact information
Practice address
80 CLOVE RD, LITTLE FALLS, NJ 07424-2102
(973) 655-7991
Mailing address
1 NORMAL AVE, MONTCLAIR, NJ 07043-1624
(973) 655-7991
(973) 655-5155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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