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Individual

MR. JOHN SKELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
445 GODWIN AVE, MIDLAND PARK, NJ 07432-1507
(201) 444-4991
(201) 444-2593
Mailing address
22 DEPEW AVE, APT. 1, NYACK, NY 10960-3891
(845) 480-5963

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00202900
NJ

Other

Enumeration date
06/02/2006
Last updated
11/28/2010
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