Lincoln Park Physical Therapy And Sports Rehabilitation, LLC
Clinic/Center, Physical Therapy in Lincoln Park, NJ. Organization (NPI-2).
NPI number1497909469
StatusActive
Last updated in NPPESMar 12, 2009
Details
- NPI
- 1497909469
- Entity type
- Organization (NPI-2)
- Legal business name
- Lincoln Park Physical Therapy And Sports Rehabilitation, LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2008
- Last updated
- Mar 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 40QA00750300 | NJ | Yes |
Other names
- Optimum Health Physical Therapy & Wellness Center (Doing Business As)
Practice location
212 Main StSuite B
Lincoln Park, NJ 07035-3700
Phone 973-696-2999 · Fax 973-696-3030
Mailing address
212 Main StSuite B
Lincoln Park, NJ 07035-3700
Phone 973-696-2999 · Fax 973-696-3030
Authorized official
Keith M. Scott
Owner/Member
9736962999
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