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Organization
SUMMIT PHYSICAL THERAPY AND SPORTS CARE, LLC
Active
Organization
SUMMIT PHYSICAL THERAPY AND SPORTS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH DESIDERIO PT (MANAGING MEMBER)
(201) 627-0100
Entity
Organization
Contact information
Practice address
160 SUMMIT AVE STE 104, MONTVALE, NJ 07645-1750
(201) 627-0100
(201) 746-6652
Mailing address
160 SUMMIT AVE STE 104, MONTVALE, NJ 07645-1750
(201) 627-0100
(201) 746-6652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
06/16/2014
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