RUSSELL K. DITCHFIELD-AGBOH

MONTCLAIR, NJ
NPI1487905444
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00938000)
Enumeration Date2012-09-30
Last Update Date2012-09-30
Business Address
Mr. RUSSELL K. DITCHFIELD-AGBOH P.T.
141 WALNUT ST APT 2
MONTCLAIR, NJ 07042-3885
Phone number: 201-888-0444
Mailing Address
Mr. RUSSELL K. DITCHFIELD-AGBOH P.T.
141 WALNUT ST APT 2
MONTCLAIR, NJ 07042-3885
Phone number: 201-888-0444
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