# ADVANCE HOME PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1285111864
- **Authorized official:** DR. TIFFANY LEE PT, DPT (FOUNDER)
- **Authorized official phone:** (201) 390-4001

## Contact information

- **Practice address:** 9 BELAIR DR, FAIRFIELD, NJ 07004
- **Practice address phone:** (201) 390-4001
- **Mailing address:** 9 BELAIR DR, FAIRFIELD, NJ 07004-1703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01408100 | NJ | Yes |

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 08/10/2018