Organization
TITAN PHYSICAL THERAPY TITAN PT
Active
Other names
TITAN Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MICKULIK PT, DPT (PHYSICAL THERAPIST, OWNER)
(570) 606-5399
Entity
Organization
Contact information
Practice address
461 US HIGHWAY 46, FAIRFIELD, NJ 07004-1954
(570) 606-5399
Mailing address
78 HARDING AVE, TOTOWA, NJ 07512-2502
(570) 606-5399
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
06/02/2021
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