Individual
MR. DIMITRY POLYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
13 WATCHUNG AVE, TOTAL PHYSICAL THERAPY, CHATHAM, NJ 07928
(908) 268-1913
(973) 701-1616
Mailing address
13 WATCHUNG AVE, TOTAL PHYSICAL THERAPY, WATCHUNG, NJ 07928
(908) 268-1913
(973) 701-1616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00635300
NJ
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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