Professional Orthopedic And Sports Physical Therapy Of N.J., LLC
Physical Therapist in Ridgewood, NJ. Organization (NPI-2).
NPI number1982143806
StatusActive
Last updated in NPPESFeb 13, 2017
Details
- NPI
- 1982143806
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Orthopedic And Sports Physical Therapy Of N.J., LLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2017
- Last updated
- Feb 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
85 S Maple AveRidgewood, NJ 07450-4561
Phone 201-857-5396 · Fax 201-857-5398
Mailing address
2142 Utopia PkwyWhitestone, NY 11357-4142
Phone 718-819-6805 · Fax 347-841-9109
Authorized official
Kathleen Brush
Credentialing Manager
7188196805
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