# ACTIVE PEDIATRIC THERAPY ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1407270309
- **Authorized official:** CHANA DAVIDOWITZ (PRESIDENT)
- **Authorized official phone:** (732) 367-8866

## Contact information

- **Practice address:** 8 E 13TH ST, LAKEWOOD, NJ 08701-1911
- **Practice address phone:** (732) 367-8866
- **Mailing address:** 8 E 13TH ST, LAKEWOOD, NJ 08701-1911
- **Mailing address phone:** (732) 367-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2014
- **Last updated:** 02/12/2014