Individual
TILDEN TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
18 74TH ST APT C5, NORTH BERGEN, NJ 07047-5977
(551) 216-8387
Mailing address
18 74TH ST APT C5, NORTH BERGEN, NJ 07047-5977
(551) 216-8387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027822
NJ
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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