Organization
PEDIATRIC THERAPY PRACTITIONERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN BRODERICK WILHELM DPT (OWNER/PHYSICAL THERAPIST)
(973) 467-7976
Entity
Organization
Contact information
Practice address
187 MILLBURN AVE, SUITE 110, MILLBURN, NJ 07041-1847
(973) 467-7976
Mailing address
187 MILLBURN AVE, SUITE 110, MILLBURN, NJ 07041-1847
(973) 467-7976
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00333800
NJ
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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