Individual
TRAVIS MACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 S KINDERKAMACK RD STE 208, MONTVALE, NJ 07645-2169
(201) 494-4479
Mailing address
2 S KINDERKAMACK RD STE 208, MONTVALE, NJ 07645-2169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00410500
NJ
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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