MEDICARE: MS. CARYN BINDER-BREGMAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01365400	NJ
2	2251X0800X	Orthopedic Physical Therapist	024549-1	NY

General Provider Information

NPI Number	:	1144355504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARYN BINDER-BREGMAN PT

Provider Business Mailing Address
First Line	:	734 VALLEY RD STE 102
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07043-1522
Country	:	US
Telephone Number	:	973-707-7944
Fax Number	:	973-707-7541

Provider Business Practice Location Address
First Line	:	734 VALLEY RD STE 102
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07043-1522
Country	:	US
Telephone Number	:	973-707-7944
Fax Number	:	973-707-7541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	11/14/2016

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