Individual
BARRY F WACHTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1500 PLEASANT VALLEY WAY, SUITE 102, WEST ORANGE, NJ 07052-2956
(973) 325-3422
(973) 325-0825
Mailing address
161 MILLBURN AVE, MILLBURN, NJ 07041-1825
(973) 376-7100
(973) 376-7101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00206700
NJ
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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