Individual
NILKANTH THAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 DICKERSON LN, OLD BRIDGE, NJ 08857-4217
(224) 436-0405
Mailing address
24 DICKERSON LN, OLD BRIDGE, NJ 08857-4217
(224) 436-0405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010593
NY
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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