Individual
OMPRAKASH GANGAPPAGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
33 BLEEKER ST FL 2, MILLBURN, NJ 07041-1459
(718) 377-5000
(718) 377-5002
Mailing address
33 BLEEKER ST FL 2, MILLBURN, NJ 07041-1459
(718) 377-5000
(718) 377-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012708
NY
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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