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Organization
PROACTIVE SPORTS CARE AND REHABILITATION,PC
Active
Organization
PROACTIVE SPORTS CARE AND REHABILITATION,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE ANNE LARGEY PT (OWNER)
(732) 933-3570
Entity
Organization
Contact information
Practice address
160 WHITE RD, SUITE 104, LITTLE SILVER, NJ 07739-1165
(732) 933-3570
Mailing address
160 WHITE RD, SUITE 104, LITTLE SILVER, NJ 07739-1165
(732) 933-3570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069501
ORTHONET PROVIDER NUMBER
NJ
01
—
3K4076
HEALTHNET PROVIDER #
NJ
Enumeration date
06/05/2007
Last updated
05/02/2013
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