Individual
WILL STANABACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(908) 277-8967
Mailing address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(908) 277-8967
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01792500
NJ
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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