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Organization
PERFORMANCE PHYSICAL THERAPY & SPORTS CONDITIONING LLC
Active
Organization
PERFORMANCE PHYSICAL THERAPY & SPORTS CONDITIONING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SAMPLES DPT, ATC (PARTNER, PHYSICAL THERAPIST)
(201) 286-0585
Entity
Organization
Contact information
Practice address
2025 HAMBURG TPKE STE E, WAYNE, NJ 07470-6250
(973) 835-2827
(973) 835-1856
Mailing address
2025 HAMBURG TPKE STE E, WAYNE, NJ 07470-6250
(973) 835-2827
(973) 835-1856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01180900
NJ
Other
Enumeration date
04/26/2007
Last updated
02/02/2024
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