Individual
ATHENA MARIE THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1360 CLIFTON AVE, PM BOX 345, CLIFTON, NJ 07012-1343
(973) 928-3590
(973) 928-3589
Mailing address
935 ALLWOOD RD, 1ST FLOOR, CLIFTON, NJ 07012-1988
(973) 928-3590
(973) 928-3589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00875800
NJ
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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