Individual
MR. THOMAS WILLIAM PUCKHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
222 SCHANCK RD, SUITE 301, FREEHOLD, NJ 07728-3068
(732) 431-2883
(732) 431-2865
Mailing address
222 SCHANCK RD, SUITE 301, FREEHOLD, NJ 07728-3068
(732) 431-2883
(732) 431-2865
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01297600
NJ
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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