# ACTIVE PT HOME CARE

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

## Provider details

- **NPI number:** 1568849925
- **Authorized official:** KERI MORAN (MEMBER)
- **Authorized official phone:** (201) 746-6577

## Contact information

- **Practice address:** 2 S KINDERKAMACK RD, MONTVALE, NJ 07645-2168
- **Practice address phone:** (201) 746-6577
- **Mailing address:** 2 S KINDERKAMACK RD, MONTVALE, NJ 07645-2168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 07/17/2015