Organization
KTR WELLNESS, LLC
Active
Other names
KTR Wellness, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA CALLAHAM RDN (OWNER)
(201) 500-7296
Entity
Organization
Contact information
Practice address
140 E RIDGEWOOD AVE STE 415, PARAMUS, NJ 07652-3915
(201) 720-1900
(201) 367-3779
Mailing address
688 SEAGULL DR, PARAMUS, NJ 07652-4944
(201) 960-9636
(201) 608-7111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811461650
DEANA CALLAHAM, RDN
NJ
Enumeration date
01/04/2021
Last updated
07/17/2024
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