Individual
BRACHA S BUCHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29 IDAHO ST, PASSAIC, NJ 07055-3336
(347) 248-3184
(973) 777-2324
Mailing address
29 IDAHO ST, PASSAIC, NJ 07055-3336
(347) 248-3184
(973) 777-2324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023591-1
NY
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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