# ADVANCED SPORTS PT LLC

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

## Provider details

- **NPI number:** 1629732227
- **Authorized official:** SHARON GEORGE (OWNER)
- **Authorized official phone:** (201) 772-4622

## Contact information

- **Practice address:** 2 GINKGO CT, UPPER SADDLE RIVER, NJ 07458-1924
- **Practice address phone:** (201) 772-4622
- **Mailing address:** 2 GINKGO CT, UPPER SADDLE RIVER, NJ 07458-1924

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2021
- **Last updated:** 12/09/2021