Individual
BRIAN TANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
150 N MIDLAND AVE, SADDLE BROOK, NJ 07663-5926
(201) 712-5533
(201) 712-5551
Mailing address
70 HILLSIDE AVE, NUTLEY, NJ 07110-1614
(973) 666-1546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01745700
NJ
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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