Individual
PAUL R NEKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
644 GOFFLE RD, HAWTHORNE, NJ 07506-3452
(973) 636-7000
Mailing address
91 RAVINE AVE, WEST CALDWELL, NJ 07006-7612
(973) 287-6077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00219000
NJ
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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