Individual
TAYLOR GHODBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 OAK TREE AVE STE S, SOUTH PLAINFIELD, NJ 07080-5126
(908) 756-6555
Mailing address
57 CASTLE POINTE BLVD, PISCATAWAY, NJ 08854-5061
(609) 313-4852
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT027545
PA
Other
Enumeration date
02/15/2019
Last updated
05/28/2024
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