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Organization
TOTAL PHYSICAL THERAPY, LLC.
Active
Organization
TOTAL PHYSICAL THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN SYLVESTER GARTNER MSPT (PHYSICAL THERAPIST)
(201) 282-1142
Entity
Organization
Contact information
Practice address
25 E. SPRING VALLEY AVE, SUITE 190, MAYWOOD, NJ 07607
(201) 820-4604
(201) 820-4605
Mailing address
25 E. SPRING VALLEY AVE, SUITE 190, MAYWOOD, NJ 07607
(201) 820-4604
(201) 820-4605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00928200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11804691
CAQH
—
Enumeration date
03/26/2009
Last updated
03/26/2009
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