Individual
AMANDA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
249 HIGH ST, NEWTON, NJ 07860-9600
(973) 579-4242
Mailing address
4 BARBARA ST, OAK RIDGE, NJ 07438-9559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA01292500
NJ
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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