# HARBOR PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1366561672
- **Authorized official:** LINDA S PALMA (ADMINISTRATOR)
- **Authorized official phone:** (856) 346-3823

## Contact information

- **Practice address:** 110 HARBOR LN, SUITE B, SOMERS POINT, NJ 08244-2470
- **Practice address phone:** (609) 653-9476
- **Practice address fax:** (609) 653-9477
- **Mailing address:** 110 HARBOR LN, SUITE B, SOMERS POINT, NJ 08244-2470
- **Mailing address phone:** (609) 653-9476
- **Mailing address fax:** (609) 653-9477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA00699400 | NJ | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | $$$$$$$$$ | SOCIAL SECURITY NUMBER | — |
| 01 | — | 1427190685 | NATIONAL PROVIDER IDENTIF | — |