Individual
KAMON JAKSARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 ROUTE 17 SOUTH, MAHWAH, NJ 07430-2141
(201) 529-8322
Mailing address
300 ROUTE 17, MAHWAH, NJ 07430-2141
(201) 529-8322
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01821500
NJ
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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