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Organization
FOREVER ACTIVE PHYSICAL THERAPY & SPORTS PERFORMANCE LLC
Active
Organization
FOREVER ACTIVE PHYSICAL THERAPY & SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY PUGLISI PT, DPT (PRESIDENT, LEAD PHYSICAL THERAPIST)
(732) 575-3275
Entity
Organization
Contact information
Practice address
1236 AUDUBON DR, TOMS RIVER, NJ 08753-3903
(732) 575-3275
Mailing address
1236 AUDUBON DR, TOMS RIVER, NJ 08753-3903
(732) 575-3275
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
NULL
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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