Individual
DUSTIN KOYKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
220 LIVINGSTON ST STE 112, NORTHVALE, NJ 07647-1739
(201) 564-7515
Mailing address
220 LIVINGSTON ST STE 112, NORTHVALE, NJ 07647-1739
(201) 564-7515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00355500
NJ
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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