Individual
GALINA R VANNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 LACEY DR, NEW MILFORD, NJ 07646-1108
(201) 483-3335
Mailing address
328 LACEY DR, NEW MILFORD, NJ 07646-1108
(201) 634-1620
(201) 634-1620
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
015637-1
NY
Other
Enumeration date
12/29/2008
Last updated
05/16/2017
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