Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Russell K. Ditchfield-Agboh, PT

Individual provider Physical Therapist · NPI 1487905444

Mr. Russell K. Ditchfield-Agboh, PT is a Physical Therapist in Montclair, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

141 Walnut St Apt 2
Montclair, NJ 07042-3885
Phone: (201) 888-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA00938000 (NJ)

Record details

NPI number1487905444
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 30, 2012
Last updated in NPPESSeptember 30, 2012

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