Kevin Pineda, DPT
Physical Medicine & Rehabilitation in Fair Lawn, NJ. Individual provider (NPI-1).
NPI number1386300697
StatusActive
Last updated in NPPESNov 10, 2021
Details
- NPI
- 1386300697
- Entity type
- Individual (NPI-1)
- Name
- Kevin Pineda
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2021
- Certification date
- Nov 10, 2021
- Last updated
- Nov 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 40QA02057300 | NJ | Yes |
Practice location
24-17 Fair Lawn AveFair Lawn, NJ 07410-3429
Phone 201-794-4417 · Fax 201-794-4419
Mailing address
Po Box 1014Clark, NJ 07066-1014
Phone 732-855-9751 · Fax 732-855-9755
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All 11 Physical Medicine & Rehabilitation Physician providers in Fair Lawn · All 1,467 providers in Fair Lawn
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