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Search › New Jersey › 225100000X

Jonathan Mickulik, DPT

NPI 1821340399 · on the registry since 2012

Practice

Address
461 Us Highway 46
Fairfield, NJ 07004
Phone
(570) 606-5399
Organisation at this address
Serenity Wig Design Llc
Titan Physical Therapy Titan Pt
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey