Individual
MR. THOMAS J MODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,OTR
Contact information
Practice address
189 FRANKLIN AVE, SUITE 2, NUTLEY, NJ 07110-3823
(973) 235-9585
(973) 235-9740
Mailing address
189 FRANKLIN AVE, SUITE 2, NUTLEY, NJ 07110-3823
(973) 235-9585
(973) 235-9740
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
40QA00398100
NJ
225X00000X
Occupational Therapist
Primary
46TR00191000
NJ
Other
Enumeration date
02/01/2007
Last updated
09/11/2025
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