NATTY BANDASAK

EAST HANOVER, NJ
NPI1164964094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01701300)
Enumeration Date2016-11-09
Last Update Date2021-11-30
Business Address
NATTY BANDASAK
55 EAGLE ROCK AVE
EAST HANOVER, NJ 07936-3143
Phone number: 201-561-4681
Mailing Address
NATTY BANDASAK
75 STERLING BLVD APT 550
ENGLEWOOD, NJ 07631-4846
Phone number: 201-561-4681