Individual
KYLE O'FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
282 MARTIS PL, MAHWAH, NJ 07430-1318
(551) 427-7941
(212) 223-0198
Mailing address
282 MARTIS PL, MAHWAH, NJ 07430-1318
(551) 427-7941
(212) 223-0198
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
043870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043870
NY STATE
NY
Enumeration date
02/22/2019
Last updated
02/22/2019
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