Individual
JOHN TYLER INDRIKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 404-9840
Mailing address
11 SUTTON PL, EAST WINDSOR, NJ 08520-1716
(609) 529-5794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
10/03/2019
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