Individual
GRACE NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
860 WYCKOFF AVE, MAHWAH, NJ 07430-3186
(201) 891-9008
(201) 891-9195
Mailing address
860 WYCKOFF AVE, MAHWAH, NJ 07430-3186
(201) 891-9008
(201) 891-9195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00529800
NJ
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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