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Organization

SENSORY TAEKWONDO OF WALDWICK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KERRY JOSEPH ESCAMILLA D.C. (ZOWNER)
(201) 895-1496
Entity
Organization

Contact information

Practice address
140 HOPPER AVE, WALDWICK, NJ 07463
(201) 399-4124
Mailing address
140 HOPPER AVE, WALDWICK, NJ 07463
(201) 399-4124

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
104100000X
Social Worker
106E00000X
Assistant Behavior Analyst
111N00000X
Chiropractor
Primary
221700000X
Art Therapist
225100000X
Physical Therapist
225800000X
Recreation Therapist
225A00000X
Music Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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