Individual
ANDREW ATALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 EAGLE ROCK AVE, SUIT 104, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Mailing address
622 EAGLE ROCK AVE, SUIT 104, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01805500
NJ
225200000X
Physical Therapy Assistant
40QB00311300
NJ
Other
Enumeration date
08/13/2014
Last updated
02/13/2020
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