Individual
MRS. JOANNE COOLACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
362 FRANKLIN ST, BLOOMFIELD, NJ 07003-3415
(973) 478-3006
(973) 680-0307
Mailing address
57 CONEY RD, LITTLE FALLS, NJ 07424-1049
(973) 200-0832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA00997400
NJ
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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