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1588393300
BRANDON KIRK HEINZ
LIVINGSTON, NJ
NPI
1588393300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02090900)
Enumeration Date
2022-06-07
Last Update Date
2022-06-07
Business Address
BRANDON KIRK HEINZ PT, DPT
555 S LIVINGSTON AVE
LIVINGSTON, NJ 07039-5410
Phone number: 973-974-9292
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Mailing Address
BRANDON KIRK HEINZ PT, DPT
605 MAIN ST
HACKENSACK, NJ 07601-5914
Phone number: 201-488-0488
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