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Ms. Traci Marie O'hara, DPT
Orthopedic Physical Therapist in Ridgewood, New Jersey
NPI 1912192055

Traci Marie O'hara is a Orthopedic Physical Therapist based in Ridgewood, NJ and is specialized in Orthopedic. Traci Marie O'hara practices in Ridgewood, NJ and has the professional credentials of DPT. The NPI Number for Traci Marie O'hara is 1912192055 and holds a License No. 40QA00975000 (New Jersey).

The current practice location address for Traci Marie O'hara is 104 Chestnut St, Ridgewood, NJ and can be reached out via phone at 201-493-8111. You can also correspond with Traci Marie O'hara through the mailing address at 104 CHESTNUT ST, RIDGEWOOD, NJ - 07450-2502 (mailing address contact number: 201-493-8111).

Location: 104 Chestnut St, Ridgewood, NJ, 07450-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912192055
Provider Name
Traci Marie O'hara
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
104 Chestnut St, Ridgewood, NJ, 07450-2502
Phone Number
201-493-8111
Fax Number
Provider Enumeration Date
09/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
067570 01 NJ MEDICARE PEOVIDER#
institution
Provider Business Practice Location Address Details
Address
104 Chestnut St
City
Ridgewood
State
New Jersey
Zip
07450-2502
Phone Number
201-493-8111
Fax Number
person
Provider Business Mailing Address Details
Address
104 Chestnut St
City
Ridgewood
State
New Jersey
Zip
07450-2502
Phone Number
201-493-8111
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
40QA00975000 (New Jersey)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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