Organization
BACK AT HOME NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J MICHALSKI (OWNER)
(732) 802-5743
Entity
Organization
Contact information
Practice address
20 S ARLENE DR, WEST LONG BRANCH, NJ 07764-1154
(732) 801-5743
Mailing address
20 S ARLENE DR, WEST LONG BRANCH, NJ 07764-1154
(732) 801-5743
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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