Individual
MARK STEPHEN TAKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 N RTE 17 STE 900, PARAMUS, NJ 07652-2749
(201) 368-2222
Mailing address
27-16 KIPP ST, FAIR LAWN, NJ 07410-3249
(551) 206-3941
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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