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NPI Code Detail

MEDICARE: JULIE CHITA PT

MEDICARE: JULIE CHITA 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
12251X0800XOrthopedic Physical Therapist40QA00554200NJ

General Provider Information

NPI Number : 1225080294
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE CHITA PT
Provider Business Mailing Address
First Line : 85 S MAPLE AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-4561
Country : US
Telephone Number : 201-445-2830
Fax Number : 201-445-7471
Provider Business Practice Location Address
First Line : 85 S MAPLE AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-4561
Country : US
Telephone Number : 201-445-2830
Fax Number : 201-445-7471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 09/09/2025

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