Individual provider · Type 1 NPI

Roger Lee Gully, CERTIFIED REHAB THER

Rehabilitation Practitioner · Clifton, NJ

NPI number 1174539944 Active

Practice location

62 Fairmount Ave
Clifton, NJ 07011-3007

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000X26BT00004800 (NJ)

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1174539944

Roger Lee Gully, CERTIFIED REHAB THER's National Provider Identifier is 1174539944, issued on Jul 31, 2006. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Clifton, NJ. The record was last updated on Jul 8, 2007.