Leonard Teitelbaum, DPT
Physical Therapist in Wayne, NJ. Individual provider (NPI-1).
NPI number1629439773
StatusActive
Last updated in NPPESMar 17, 2016
Details
- NPI
- 1629439773
- Entity type
- Individual (NPI-1)
- Name
- Leonard Teitelbaum
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2016
- Last updated
- Mar 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA1654600 | NJ | Yes |
Practice location
1055 Hamburg TpkeWayne, NJ 07470-3235
Phone 973-305-0064 · Fax 973-305-0074
Mailing address
2142 Utopia PkwyWhitestone, NY 11357-4142
Phone 718-819-6805 · Fax 347-841-9109
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