Organization
HERRICK HOME CARE PHYSICAL THERAPY ORTHOPEDIC & PEDIATRIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE DAVID HERRICK PT, DPT (OWNER)
(973) 800-4050
Entity
Organization
Contact information
Practice address
2282 HAMBURG TPKE STE A, WAYNE, NJ 07470-6291
(973) 800-4050
(862) 330-3186
Mailing address
2282 HAMBURG TPKE STE A, WAYNE, NJ 07470-6291
(973) 800-4050
(862) 330-3186
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01562000
NJ
235Z00000X
Speech-Language Pathologist
41YS00937900
NJ
Other
Enumeration date
08/14/2018
Last updated
12/01/2020
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