Mgt Physical Therapy LLC
Residential Treatment Facility, Physical Disabilities in South Amboy, NJ. Organization (NPI-2).
NPI number1033547005
StatusActive
Last updated in NPPESOct 29, 2013
Details
- NPI
- 1033547005
- Entity type
- Organization (NPI-2)
- Legal business name
- Mgt Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2013
- Last updated
- Oct 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | 40qao1259300 | NJ | Yes |
Practice location
112 N Broadway Apt ESouth Amboy, NJ 08879-1675
Phone 732-609-1547
Mailing address
112 N Broadway Apt ESouth Amboy, NJ 08879-1675
Phone 732-609-1547
Authorized official
Eduardo Mauricio Trujillo
Physical Therapist
7326091547
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