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Individual

BRIAN KOKULAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
540 LAFAYETTE RD, SUITE B, SPARTA, NJ 07871-3497
(973) 940-8680
(973) 940-8634
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01606100
NJ

Other

Enumeration date
07/13/2015
Last updated
07/13/2015
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