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Organization
PRO-ACTIVITY REHABILITATION ASSOCIATES, LLC
Active
Organization
PRO-ACTIVITY REHABILITATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN SCOTT BAGLEY PT, DPT (DIRECTOR OF CLINICAL OPERATIONS)
(908) 730-6640
Entity
Organization
Contact information
Practice address
1250 STATE ROUTE 31, LEBANON, NJ 08833-3238
(908) 730-6640
(908) 730-0468
Mailing address
1250 STATE ROUTE 31 STE 100, LEBANON, NJ 08833-3238
(908) 730-6640
(908) 730-0468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/14/2005
Last updated
12/03/2020
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