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1003552266
ANDREW REISSIG
WYCKOFF, NJ
NPI
1003552266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00196400)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
ANDREW REISSIG PTA
301 SICOMAC AVE
WYCKOFF, NJ 07481-2159
Phone number: 201-824-5624
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Mailing Address
ANDREW REISSIG PTA
64 E JOHNSON AVE
BERGENFIELD, NJ 07621-1817
Phone number: 201-220-8061
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