Michael Ryan Blanco, DPT
Physical Therapist in Closter, NJ. Individual provider (NPI-1).
NPI number1104553262
StatusActive
Last updated in NPPESAug 8, 2022
Details
- NPI
- 1104553262
- Entity type
- Individual (NPI-1)
- Name
- Michael Ryan Blanco
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2022
- Certification date
- Aug 8, 2022
- Last updated
- Aug 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02105400 | NJ | Yes |
Practice location
31 Ver Valen StCloster, NJ 07624-2699
Phone 201-784-2700
Mailing address
5 Austin PlHasbrouck Heights, NJ 07604-1438
Phone 201-220-9049
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All 15 Physical Therapist providers in Closter · All 220 providers in Closter
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