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Roger Lee Gully, CERTIFIEDREHABTHER
Rehabilitation Practitioner in Clifton, New Jersey
NPI 1174539944

Roger Lee Gully is a Rehabilitation Practitioner based in Clifton, NJ. Roger Lee Gully practices in Clifton, NJ and has the professional credentials of CERTIFIEDREHABTHER. The NPI Number for Roger Lee Gully is 1174539944 and holds a License No. 26BT00004800 (New Jersey).

The current practice location address for Roger Lee Gully is 62 Fairmount Ave, Clifton, NJ and can be reached out via phone at 973-340-0890.

Location: 62 Fairmount Ave, Clifton, NJ, 07011-3007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174539944
Provider Name
Roger Lee Gully
Credential
CERTIFIEDREHABTHER
Provider Entity Type
Individual
Gender
Male
Address
62 Fairmount Ave, Clifton, NJ, 07011-3007
Phone Number
973-340-0890
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
62 Fairmount Ave
City
Clifton
State
New Jersey
Zip
07011-3007
Phone Number
973-340-0890
Fax Number
person
Provider Business Mailing Address Details
Address
62 Fairmount Ave
City
Clifton
State
New Jersey
Zip
07011-3007
Phone Number
973-340-0890
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
26BT00004800 (New Jersey)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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