Individual
MICHAEL C NWOSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
266 HARRISTOWN RD STE 200, GLEN ROCK, NJ 07452-3354
(201) 445-7000
Mailing address
102 BROOKSIDE LN, MOUNT ARLINGTON, NJ 07856-1364
(973) 723-7806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00409800
NJ
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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