# EASTERN MONMOUTH PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1407050784
- **Authorized official:** MR. BRIAN M MULLINS MS,PT (OWNER)
- **Authorized official phone:** (732) 922-6618

## Contact information

- **Practice address:** 301 BINGHAM AVE, SUITE A, OCEAN, NJ 07712-4764
- **Practice address phone:** (732) 922-6618
- **Practice address fax:** (732) 922-6619
- **Mailing address:** 301 BINGHAM AVE, SUITE A, OCEAN, NJ 07712-4764
- **Mailing address phone:** (732) 922-6618
- **Mailing address fax:** (732) 922-6619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | QA0859400 | NJ | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 06/30/2022