Organization
DMR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D RYAN PT (CO-OWNER)
(551) 404-5405
Entity
Organization
Contact information
Practice address
17-15 MAPLE AVE, FAIR LAWN, NJ 07410-1552
(551) 404-5405
Mailing address
214 VAN HOUTEN AVE, WYCKOFF, NJ 07481-2424
(201) 848-6198
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01148000
NJ
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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