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Organization
ORANGE PHYSICAL THERAPY
Active
Organization
ORANGE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANA JOHNSON (ADMINISTRATOR)
(973) 414-1357
Entity
Organization
Contact information
Practice address
517 CENTRAL AVE, ORANGE, NJ 07050-1433
(973) 414-1357
(973) 414-0713
Mailing address
517 CENTRAL AVE, ORANGE, NJ 07050-1433
(973) 414-1357
(973) 414-0713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00987800
NJ
225100000X
Physical Therapist
Primary
40QA01110500
NJ
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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