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Individual

ASHLEY TWYNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
42 PARK ST, MONTCLAIR, NJ 07042-3440
(201) 366-2300
Mailing address
8 PATERSON AVE, NUTLEY, NJ 07110-1227
(201) 366-2300

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01643300
NJ
2251X0800X
Orthopedic Physical Therapist
PT028078
PA

Other

Enumeration date
10/01/2021
Last updated
10/01/2021
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