Joyce Glick

Individual provider Active NPI Physical Therapist · Pomona, NJ

NPI 1497280838 · NPPES record last updated Apr 24, 2017

Key facts

NPI
1497280838
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
QA00409336 (NJ)
Practice address
61 W. Jimmie Leeds Rd.
Pomona, NJ 08240-0723
Phone
(609) 652-7000
Fax
(609) 748-4792
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
QA00409336NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA00409336 NJ Yes

Addresses

Primary practice location

61 W. Jimmie Leeds Rd.
Pomona, NJ 08240-0723

Mailing address

61 W. Jimmie Leeds Rd.
Pomona, NJ 08240-0723
Phone (609) 652-7000

Other providers in Pomona, NJ

All providers in Pomona, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.