Individual
JIM EHIRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2-22 BANTA PL, FAIR LAWN, NJ 07410-3058
(201) 509-8600
Mailing address
2-22 BANTA PL, FAIR LAWN, NJ 07410-3058
(201) 509-8600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QB00281000
NJ
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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