Individual
JOAN WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1060 MAIN ST, RIVER EDGE, NJ 07661-2591
(201) 833-0234
Mailing address
403 WEST AVE, NORTHVALE, NJ 07647-1308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00225900
NJ
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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