# MATAWAN PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1164953808
- **Authorized official:** JOSEPH SIMON (CO-OWNER)
- **Authorized official phone:** (732) 970-7894

## Contact information

- **Practice address:** 254 MAIN ST, MATAWAN, NJ 07747-3224
- **Practice address phone:** (732) 970-7894
- **Mailing address:** 254 MAIN ST, MATAWAN, NJ 07747-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 40QA01445800 | NJ | Yes |

## Other

- **Enumeration date:** 03/24/2017
- **Last updated:** 03/24/2017