# TOTAL ACTIVCORE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Functional Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023624012
- **Authorized official:** NICHOLAS RYAN PASSE (PHYSICAL THERAPIST)
- **Authorized official phone:** (908) 872-5133

## Contact information

- **Practice address:** 719 ROUTE 206 STE 104, HILLSBOROUGH, NJ 08844-1529
- **Practice address phone:** (908) 262-7401
- **Mailing address:** 719 ROUTE 206 STE 104, HILLSBOROUGH, NJ 08844-1529
- **Mailing address phone:** (908) 262-7401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2020
- **Last updated:** 09/30/2020