# ADVANCED PHYSICAL THERAPY PC

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

## Provider details

- **NPI number:** 1255489944
- **Authorized official:** KEVIN KOOB (PRESIDENT)
- **Authorized official phone:** (609) 581-4700

## Contact information

- **Practice address:** 1245 WHITEHORSE MERCERVILLE RD, SUITE 422, MERCERVILLE, NJ 08619-3831
- **Practice address phone:** (609) 581-4700
- **Practice address fax:** (609) 581-1506
- **Mailing address:** 1245 WHITEHORSE MERCERVILLE RD, SUITE 422, MERCERVILLE, NJ 08619-3831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA00310500 | NJ | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 12/21/2016