Individual
ILANA DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
(201) 750-4236
Mailing address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00866900
NJ
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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