Individual
ERIC CANONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17-17 ROUTE 208 STE 116, FAIR LAWN, NJ 07410-2819
(201) 291-0750
(201) 291-0753
Mailing address
17-17 ROUTE 208 STE 116, FAIR LAWN, NJ 07410-2819
(201) 291-0750
(201) 291-0753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02392100
NJ
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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