Individual
MR. JOHN BERNARD TALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
19 RAYMOND AVE, RUTHERFORD, NJ 07070-1131
(201) 240-0313
(201) 355-2309
Mailing address
19 RAYMOND AVE, RUTHERFORD, NJ 07070-1131
(201) 240-0313
(201) 355-2309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01251900
NJ
Other
Enumeration date
10/14/2008
Last updated
05/23/2013
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