Individual
PETER D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 BROOKDALE RD, WAYNE, NJ 07470-5155
(973) 851-0507
Mailing address
64 BROOKDALE RD, WAYNE, NJ 07470-5155
(973) 851-0507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00183700
NJ
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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