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Organization
WEST WINDSOR-PLAINSBORO PHYSICAL THERAPY CENTER, LLC
Active
Organization
WEST WINDSOR-PLAINSBORO PHYSICAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CHARLES EDGERLY P.T. (CO-OWNER)
(690) 275-0666
Entity
Organization
Contact information
Practice address
666 PLAINSBORO RD, SUITE 240, PLAINSBORO, NJ 08536-3004
(690) 275-0666
(609) 275-8004
Mailing address
666 PLAINSBORO RD, SUITE 240, PLAINSBORO, NJ 08536-3004
(690) 275-0666
(609) 275-8004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00527200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804615
AETNA
NJ
Enumeration date
12/05/2006
Last updated
01/21/2009
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