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Nicole Mohr, PT

Physical Therapist in Ridgewood, NJ. Individual provider (NPI-1).

NPI number1982142832
StatusActive
Last updated in NPPESFeb 10, 2017

Details

NPI
1982142832
Entity type
Individual (NPI-1)
Name
Nicole Mohr
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 10, 2017
Last updated
Feb 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist40QA00689700NJYes

Practice location

1200 E Ridgewood Ave
Suite 208
Ridgewood, NJ 07450-3957

Phone 201-444-0631

Mailing address

1200 E Ridgewood Ave
Suite 208
Ridgewood, NJ 07450-3957

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