NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780130567 |   |   |   | PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC | 576 BROADHOLLOW RD | MELVILLE | NY | 117475002 |
1821548306 |   |   |   | PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC | 576 BROADHOLLOW RD | MELVILLE | NY | 117475002 |
1346553807 | FULLAWAY | DUSTIN | C |   | 187 MILLBURN AVE | MILLBURN | NJ | 070411847 |
1962743930 | HARRIS | TIMOTHY | JAMES |   | 100 GALLOPING HILL RD | COLTS NECK | NJ | 077221538 |
1861837742 | MC CONNELL | DEREK | J |   | 576 BROADHOLLOW RD | MELVILLE | NY | 117475002 |
1598246118 | POLTRICITSKY | SHAWNA |   |   | 12 JOE ENT RD | FLEMINGTON | NJ | 088225600 |
1255363255 | SIMON | BRIAN | SCOTT |   | 187 MILLBURN AVE | MILLBURN | NJ | 070411847 |