Mr. Johanns Mauricio Gammel
Physical Therapy Assistant
251 Rock Rd
Glen Rock
, New Jersey 07452-1745
Mr. Johanns Mauricio Gammel
Physical Therapy Assistant
251 Rock Rd
Glen Rock
, New Jersey 07452-1745
(551) 579-3588
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Johanns Mauricio Gammel
- 52 Andover Ter
- Glen Rock, NJ
- Zip : 07452-3719
- Phone : (551) 579-3588
Second Address
- Mr. Johanns Mauricio Gammel
- 251 Rock Rd
- Glen Rock, NJ
- Zip : 07452-1745
- Phone : (201) 445-0900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 40QB00260000 | NJ |
National Provider Identifier
| NPI | 1003988932 |
|---|---|
| Provider Name | Mr. Johanns Mauricio Gammel |
| First Address | Glen Rock, NJ 07452-3719 |
| Second Address | Glen Rock, NJ 07452-1745 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 12/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.