Individual
JUSTIN DATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1873 ROUTE 70 E STE 1-J, CHERRY HILL, NJ 08003-2034
(856) 428-4030
(856) 428-1093
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01869700
NJ
Other
Enumeration date
07/29/2019
Last updated
10/05/2021
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