Organization
GAINING GROUND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANNIKA HANTHO (OWNER)
(862) 202-9003
Entity
Organization
Contact information
Practice address
115 CHESTNUT ST, MONTCLAIR, NJ 07042-2943
(862) 202-9003
Mailing address
115 CHESTNUT ST, MONTCLAIR, NJ 07042-2943
(862) 202-9003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/03/2020
Last updated
11/13/2020
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