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General NPI Number Information
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NPI Number | 1275904690
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Entity Type | Individual
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Provider Name | CASEY GARTLAND PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 50 MOUNT PROSPECT AVE STE 207
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City | CLIFTON
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State | NJ
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Zip | 07013-1900
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Country | US
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Telephone | 201-464-4749
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Fax | 201-464-4757
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Provider Business Mailing Address
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Address Line | 36 POWDERHORN DR
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City | WAYNE
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State | NJ
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Zip | 07470-4252
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Country | US
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Telephone | 973-464-0118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01637500
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License Number State | NJ
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