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Jersey Shore Physical Therapy And Rehab

Clinic/Center, Physical Therapy in Northfield, NJ. Organization (NPI-2).

NPI number1306996293
StatusActive
Last updated in NPPESJun 16, 2008

Details

NPI
1306996293
Entity type
Organization (NPI-2)
Legal business name
Jersey Shore Physical Therapy And Rehab
Organization subpart
No
Enumeration date
Jan 11, 2007
Last updated
Jun 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy40QA00131700NJYes

Practice location

1423 Tilton Rd
Suite 10
Northfield, NJ 08225-1857

Phone 609-677-8778 · Fax 609-677-9229

Mailing address

1423 Tilton Rd
Suite 10
Northfield, NJ 08225-1857

Phone 609-677-8778 · Fax 609-677-9229

Authorized official

Anthony John Visgil
Owner Physical Therapist
6096778778

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