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Individual

JANNE KAMINSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
395 CLAREMONT AVE, MONTCLAIR, NJ 07042-1879
(862) 202-1895
Mailing address
395 CLAREMONT AVE, MONTCLAIR, NJ 07042-1879
(862) 202-1895

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017467-1
NY
2251G0304X
Geriatric Physical Therapist
017467-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017467-1
NY
01
111
NEW YORK STATE BOARD OF EDUCATION
NY
Enumeration date
06/11/2009
Last updated
12/08/2023
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