The Village Therapy Place
Pediatrics, Neurodevelopmental Disabilities in Wyckoff, NJ. Organization (NPI-2).
NPI number1689382004
StatusActive
Last updated in NPPESNov 15, 2022
Details
- NPI
- 1689382004
- Entity type
- Organization (NPI-2)
- Legal business name
- The Village Therapy Place
- Organization subpart
- No
- Enumeration date
- Nov 15, 2022
- Certification date
- Nov 14, 2022
- Last updated
- Nov 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0008X | Pediatrics, Neurodevelopmental Disabilities | – | – | Yes |
Practice location
541 Cedar Hill Ave Ste 1Wyckoff, NJ 07481-2133
Phone 201-201-8220
Mailing address
354 Winthrop RdTeaneck, NJ 07666-3019
Phone 201-370-2179
Authorized official
Deborah Horowitz
Co-Owner
2012018220
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