Fair Lawn Spine & Pt Care LLC
Physical Medicine & Rehabilitation in Fair Lawn, NJ. Organization (NPI-2).
NPI number1790735959
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790735959
- Entity type
- Organization (NPI-2)
- Legal business name
- Fair Lawn Spine & Pt Care LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
19-21 Fair Lawn AveFair Lawn, NJ 07410
Phone 201-794-6868 · Fax 201-794-6003
Mailing address
19-21 Fair Lawn AveFair Lawn, NJ 07410
Phone 201-794-6868 · Fax 201-794-6003
Authorized official
William F Thimmel
Clinic Director
2017946868
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