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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHADIJAH DAVIES, HAIR LOSS SPECIALIST

Active Sole Proprietor

KHADIJAH DAVIES, HAIR LOSS SPECIALIST is a Physical Therapist Assistant healthcare provider located in FAIR LAWN, New Jersey. NPI 1316535800 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · FAIR LAWN, NJ

Registration Details

NPI Number
1316535800
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2021 (5.6160638785004 yrs)
Last Updated
Jan 9, 2021
License
32WG02347900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
24-11 BROADWAY
FAIR LAWN, NJ, 074103053
Browse NJ providers · Browse ZIP 07410
Phone
9734605835
Primary Specialty
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.