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Individual

MICHAEL TRAVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
50 MOUNT PROSPECT AVE STE 207, CLIFTON, NJ 07013-1900
(201) 464-4749
Mailing address
900 ROUTE 9 N STE 410, WOODBRIDGE, NJ 07095-1003
(201) 801-7141

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00383700
NJ

Other

Enumeration date
04/28/2021
Last updated
04/28/2021
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