Individual
KRYSTAL COKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
196 W MADISON AVE APT 11B, DUMONT, NJ 07628-3363
(718) 541-2444
Mailing address
196 W MADISON AVE APT 11B, DUMONT, NJ 07628-3363
(718) 541-2444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA01466400
NJ
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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