Individual
EZRA N KLEMOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS
Contact information
Practice address
408 LAREINE AVE, BRADLEY BEACH, NJ 07720
(908) 251-7358
Mailing address
408 LAREINE AVE, BRADLEY BEACH, NJ 07720-1339
(908) 251-7358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01778700
NJ
Other
Enumeration date
02/19/2018
Last updated
05/23/2018
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