Individual
CAROL ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 FAIRHAVEN DR, ALLENDALE, NJ 07401-1109
(201) 825-6677
Mailing address
26 FAIRHAVEN DR, ALLENDALE, NJ 07401-1109
(201) 825-6677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00978500
NJ
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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