IndividualActive
Randy Kolodny, PT, DPT
NPI 1326801101 · Geriatric Physical Therapist · Glen Ridge, NJ
Provider details
- NPI number
- 1326801101
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40QA00587000 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
93 Yantecaw Ave
Glen Ridge, NJ 07028-1923
Phone: (917) 533-9390
Approximate (ZIP-level) locationGet directions
Mailing address
93 Yantecaw Ave
Glen Ridge, NJ 07028-1923
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-02-05
- Certified
- 2024-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.