Individual
OMAR GARIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 STATE PARK RD, BLAIRSTOWN, NJ 07825-4206
(973) 449-7385
Mailing address
347 RUTGERS LN, PARSIPPANY, NJ 07054-4228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2102738
TX
225200000X
Physical Therapy Assistant
Primary
40QB00249500
NJ
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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