Organization
TEANECK ORTHOPAEDIC PHYSICAL THERAPY
Active
Organization
TEANECK ORTHOPAEDIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN SAMILLANO MALALUAN III DPT (OWNER/PRACTITIONER)
(201) 357-5421
Entity
Organization
Contact information
Practice address
1182 TEANECK RD, STE 101, TEANECK, NJ 07666-4824
(201) 357-5421
(201) 357-5422
Mailing address
1182 TEANECK RD, STE 101, TEANECK, NJ 07666-4824
(201) 357-5421
(201) 357-5422
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QAO1144000
NJ
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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