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Organization
JOINT PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization
JOINT PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ELIZABETH MEDFORD PT (DIRECTOR/OWNER)
(908) 670-0861
Entity
Organization
Contact information
Practice address
40 OLD COUNTRY RD, MIDDLETOWN, NJ 07748-1721
(908) 670-0861
Mailing address
1416 VAN BUREN AVE, BRICK, NJ 08724-2322
(908) 670-0861
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00661800
PHYSICAL THERAPY
NJ
Enumeration date
07/02/2019
Last updated
07/02/2019
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