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Mr. Tom R Willemann, PT,OCS,MS
Specialist in Wyckoff, New Jersey
NPI 1417090697

Tom R Willemann is a Specialist based in Wyckoff, NJ. Tom R Willemann practices in Wyckoff, NJ and has the professional credentials of PT,OCS,MS. The NPI Number for Tom R Willemann is 1417090697 and holds a License No. QA 007709 (New Jersey).

The current practice location address for Tom R Willemann is 541 Cedar Hill Ave, Wyckoff, NJ and can be reached out via phone at 201-251-2422 and via fax at 201-857-0365.

Location: 541 Cedar Hill Ave, Wyckoff, NJ, 07481-2133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417090697
Provider Name
Tom R Willemann
Credential
PT,OCS,MS
Provider Entity Type
Individual
Gender
Male
Address
541 Cedar Hill Ave, Wyckoff, NJ, 07481-2133
Phone Number
201-251-2422
Fax Number
201-857-0365
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200847370 01 NJ GROUP ID
039725 01 NJ PERSONAL ID
institution
Provider Business Practice Location Address Details
Address
541 Cedar Hill Ave
City
Wyckoff
State
New Jersey
Zip
07481-2133
Phone Number
201-251-2422
Fax Number
201-857-0365
person
Provider Business Mailing Address Details
Address
541 Cedar Hill Ave
City
Wyckoff
State
New Jersey
Zip
07481-2133
Phone Number
201-251-2422
Fax Number
201-857-0365
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
QA 007709 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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