Individual provider · NPI-1
Andy Akdemir, PT/DPT
Physical Therapist · Fair Lawn, NJ
NPI number1093591414
StatusActive
Last updated in NPPESSep 1, 2023
Details
- NPI
- 1093591414
- Entity type
- Individual (NPI-1)
- Name
- Andy Akdemir
- Credential
- PT/DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2023
- Certification date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02207400 | NJ | Yes |
Practice location
24-17 Fair Lawn AveFair Lawn, NJ 07410-3429
Phone 201-794-4417
Mailing address
Po Box 1014Clark, NJ 07066-1014
Phone 732-855-9755
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