IndividualActive
Roger Gully, CERTIFIED REHAB THER
NPI 1174539944 · Rehabilitation Practitioner · Clifton, NJ
Provider details
- NPI number
- 1174539944
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CERTIFIED REHAB THER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26BT00004800 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
62 Fairmount Ave
Clifton, NJ 07011-3007
Phone: (973) 340-0890
Approximate (ZIP-level) locationGet directions
Mailing address
62 Fairmount Ave
Clifton, NJ 07011-3007
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.