# MGT PHYSICAL THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033547005
- **Authorized official:** DR. EDUARDO MAURICIO TRUJILLO DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (732) 609-1547

## Contact information

- **Practice address:** 112 N BROADWAY APT E, SOUTH AMBOY, NJ 08879-1675
- **Practice address phone:** (732) 609-1547
- **Mailing address:** 112 N BROADWAY APT E, SOUTH AMBOY, NJ 08879-1675
- **Mailing address phone:** (732) 609-1547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 40QAO1259300 | NJ | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013