JUSTIN BALAVRAM

HACKENSACK, NJ
NPI1609325190
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01695700)
Enumeration Date2016-09-26
Last Update Date2016-09-26
Business Address
-- JUSTIN BALAVRAM
605 MAIN ST
HACKENSACK, NJ 07601-5914
Phone number: 201-488-0488
Mailing Address
-- JUSTIN BALAVRAM
8 WALNUT CT
NEW CITY, NY 10956-5429
Phone number:
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