Individual
DUANE VANNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 EXECUTIVE DR STE 10, WEST ORANGE, NJ 07052-3383
(973) 243-6299
(973) 325-2590
Mailing address
22 ROCKLAND TER APT 3, VERONA, NJ 07044-1608
(862) 210-4452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00347800
NJ
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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