Individual
MR. JUSTIN KILLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 MERIDIAN PL, HOWELL, NJ 07731-4003
(732) 719-0100
Mailing address
100 MERIDIAN PL, HOWELL, NJ 07731-4003
(609) 571-6516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00386200
NJ
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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