Individual
DANIEL TITTAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2 EMERY AVE, SUITE 3, RANDOLPH, NJ 07869-1368
(973) 895-9925
(973) 895-9927
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6805
(347) 841-9109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01684300
NJ
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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