Organization
DITCHFIELD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL K. DITCHFIELD-AGBOH P.T. (OWNER)
(201) 888-0444
Entity
Organization
Contact information
Practice address
141 WALNUT ST APT 2, MONTCLAIR, NJ 07042-3885
(201) 888-0444
(973) 707-2313
Mailing address
141 WALNUT ST APT 2, MONTCLAIR, NJ 07042-3885
(201) 888-0444
(973) 707-2313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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