Individual
NICHOLAS HENNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Mailing address
12 MEADOW LN, VERONA, NJ 07044-1811
(973) 985-8716
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01868000
NJ
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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