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Organization
SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC
Active
Organization
SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY R. ZACCCONE PT, DPT, MSPT, SCS (PRESIDENT)
(201) 937-3600
Entity
Organization
Contact information
Practice address
968 RIVER RD, 2ND FLOOR, EDGEWATER, NJ 07020-2237
(201) 937-3600
(201) 731-5192
Mailing address
1203 RIVER RD APT 5K, EDGEWATER, NJ 07020-1442
(201) 937-3600
(201) 731-5192
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
NJ40QA01107700
NJ
Other
Enumeration date
08/20/2007
Last updated
08/26/2008
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