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1982367819
KELLY JEAN WIECZERZAK
RUTHERFORD, NJ
NPI
1982367819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02023500)
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
KELLY JEAN WIECZERZAK PT, DPT
301 ROUTE 17 STE 105
RUTHERFORD, NJ 07070-2585
Phone number: 201-460-0032
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Mailing Address
KELLY JEAN WIECZERZAK PT, DPT
605 MAIN ST
HACKENSACK, NJ 07601-5914
Phone number: 201-488-0488
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