Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TEDDY SECILLANO, PT
Active Sole ProprietorHand Therapy · NORTH BERGEN, NJ
Registration Details
- NPI Number
- 1982961470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2012 (14.006306192877 yrs)
- Last Updated
- Apr 20, 2012
- Licenses
-
40QA01420100 (NJ)40QA01420100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9020 WALL STNORTH BERGEN, NJ, 070476011Browse NJ providers · Browse ZIP 07047
- Phone
- 2018614040
- Primary Specialty
-
Hand Therapy
2251G0304X
- Additional Specialty
- Ergonomics (Occupational Therapy)
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.