Professional Orthopedic And Sports Physical Therapy Of Nj, LLC
Physical Therapist in Secaucus, NJ. Organization (NPI-2).
NPI number1124579883
StatusActive
Last updated in NPPESMar 27, 2018
Details
- NPI
- 1124579883
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Orthopedic And Sports Physical Therapy Of Nj, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 18, 2016
- Last updated
- Mar 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
150 Flanagan WaySecaucus, NJ 07094-3445
Phone 201-319-0010 · Fax 201-319-8994
Mailing address
576 Broadhollow RdMelville, NY 11747-5002
Phone 631-359-5859 · Fax 631-396-0865
Authorized official
Kathleen Stratton
Credentialing Coordinator Manager
6313595859
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