# ANAKAN PHYSICAL THERAPY LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1386162832
- **Authorized official:** DR. JOHN CARL PERALTA PINEDA DPT (PRESIDENT / CEO)
- **Authorized official phone:** (917) 618-9881

## Contact information

- **Practice address:** 45 CAREY AVE STE 108, BUTLER, NJ 07405-1475
- **Practice address phone:** (917) 618-9881
- **Practice address fax:** (973) 850-6850
- **Mailing address:** 77 DOTY RD, HASKELL, NJ 07420-1431
- **Mailing address phone:** (917) 618-9881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01347600 | NJ | Yes |

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 01/10/2019