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Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF N.J., L.L.C.
Active
Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF N.J., L.L.C.
Active
Parent organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Authorized official
KATHLEEN BRUSH (CREDENTIALING MANAGER)
(631) 359-5805
Entity
Organization
Contact information
Practice address
405 NORTHFIELD AVE STE LL, WEST ORANGE, NJ 07052-3026
(973) 731-1950
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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