Individual
AMANDA JACLYN SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 414-4755
Mailing address
345 PASSAIC AVE, WEST CALDWELL, NJ 07006-8035
(973) 668-1937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01902100
NJ
Other
Enumeration date
11/14/2019
Last updated
11/27/2023
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