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Individual

TOMMY SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
234 STELTON RD, PISCATAWAY, NJ 08854-3244
(732) 968-1999
Mailing address
234 STELTON RD FL 2, PISCATAWAY, NJ 08854-3244
(732) 968-1999

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00392900
NJ

Other

Enumeration date
06/08/2022
Last updated
06/09/2022
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