IndividualActive
Andy Desormes
NPI 1538632542 · Physical Therapy Assistant · Englewood, NJ
Provider details
- NPI number
- 1538632542
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 40QB00288600 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
155 W Hudson Ave
Englewood, NJ 07631-1609
Phone: (201) 871-8882
Approximate (ZIP-level) locationGet directions
Mailing address
155 W Hudson Ave
Englewood, NJ 07631-1609
Registry dates
- Enumerated
- 2019-01-03
- Last updated
- 2019-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.