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Organization
SHORESIDE IN HOME THERAPY
Active
Organization
SHORESIDE IN HOME THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GRANDE DPT (OWNER/PHYSICAL THERAPIST)
(609) 276-0538
Entity
Organization
Contact information
Practice address
213 19TH AVE, BELMAR, NJ 07719-2655
(609) 276-0538
Mailing address
213 19TH AVE, BELMAR, NJ 07719-2655
(609) 276-0538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/08/2020
Last updated
02/23/2022
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