Individual
KEVIN PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24-17 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3429
(201) 794-4417
(201) 794-4419
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
(732) 855-9755
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA02057300
NJ
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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