# ACTIVE HEALTH PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1477751881
- **Authorized official:** ROWENA P. SAYSON (PHYSICAL THERAPIST)
- **Authorized official phone:** (201) 941-2160

## Contact information

- **Practice address:** 190 RIVER RD, EDGEWATER, NJ 07020-1096
- **Practice address phone:** (201) 941-2160
- **Practice address fax:** (877) 552-2289
- **Mailing address:** 190 RIVER RD, EDGEWATER, NJ 07020-1096
- **Mailing address phone:** (201) 941-2160
- **Mailing address fax:** (877) 552-2289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01107000 | NJ | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2007
- **Last updated:** 04/19/2024