# PRISM PHYSICAL THERAPY PA

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

## Provider details

- **NPI number:** 1487799920
- **Authorized official:** RICHARD FRISCIA (PHYSICAL THERAPIST)
- **Authorized official phone:** (609) 581-7550

## Contact information

- **Practice address:** 1245 WHITEHORSE MERCERVILLE RD, SUITE 407 BLDG A, 08619, NJ 08619
- **Practice address phone:** (609) 581-7550
- **Mailing address:** 1245 WHITEHORSE MERCERVILLE RD, SUITE 407 BLDG A, 08619, NJ 08619
- **Mailing address phone:** (609) 581-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020