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Organization
ADVANCED PHYSICAL THERAPY PC
Active
Organization
ADVANCED PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN KOOB (PRESIDENT)
(609) 581-4700
Entity
Organization
Contact information
Practice address
1245 WHITEHORSE MERCERVILLE RD, SUITE 422, MERCERVILLE, NJ 08619-3831
(609) 581-4700
(609) 581-1506
Mailing address
1245 WHITEHORSE MERCERVILLE RD, SUITE 422, MERCERVILLE, NJ 08619-3831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00310500
NJ
Other
Enumeration date
01/08/2007
Last updated
12/21/2016
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