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Organization
TOTAL ACTIVCORE PC
Active
Organization
TOTAL ACTIVCORE PC
Active
Other names
Functional Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RYAN PASSE (PHYSICAL THERAPIST)
(908) 872-5133
Entity
Organization
Contact information
Practice address
719 ROUTE 206 STE 104, HILLSBOROUGH, NJ 08844-1529
(908) 262-7401
Mailing address
719 ROUTE 206 STE 104, HILLSBOROUGH, NJ 08844-1529
(908) 262-7401
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/30/2020
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