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1205462892
KEVIN LEITHAUSER
MAYWOOD, NJ
NPI
1205462892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01917400)
Enumeration Date
2020-03-16
Last Update Date
2023-03-28
Business Address
KEVIN LEITHAUSER PT, DPT
119 E PASSAIC ST
MAYWOOD, NJ 07607-1342
Phone number: 201-880-7787
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Mailing Address
KEVIN LEITHAUSER PT, DPT
348 COOLIDGE AVE
TOWNSHIP OF WASHINGTON, NJ 07676-4704
Phone number: 201-245-4573
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