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1386369189
DEVON WILLIAM MCKENNA
WEST ORANGE, NJ
NPI
1386369189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00397200)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
DEVON WILLIAM MCKENNA PTA
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2994
Phone number: 973-669-0078
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Mailing Address
DEVON WILLIAM MCKENNA PTA
981 US HIGHWAY 22 FL 2
BRIDGEWATER, NJ 08807-2946
Phone number: 201-801-7141
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