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Contact Information

REGGIE C MATTAPPALLIL, PTA
459 PASSAIC AVE
WEST CALDWELL, NJ07006-7457
 Phone: 973-276-7887
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for REGGIE C MATTAPPALLIL · (Male)

NPI Number 1093935595
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 04/26/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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