Individual
CODY BRET CLARKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
381 STATE RT 23, POMPTON PLAINS, NJ 07444-1812
(973) 885-3893
(201) 581-0218
Mailing address
9 PRINCETON TER, OAKLAND, NJ 07436-3507
(973) 885-3893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01316500
NJ
Other
Enumeration date
10/29/2010
Last updated
11/06/2018
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