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Organization
SUMMIT THERAPY CENTER
Active
Organization
SUMMIT THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY GONZALEZ (AUTHORIZED OFFICIAL)
(973) 227-7277
Entity
Organization
Contact information
Practice address
1099 BLOOMFIELD AVE, WEST CALDWELL, NJ 07006
(973) 227-7277
Mailing address
PO BOX 42, ROSELAND, NJ 07068-0042
(973) 227-7277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00409000
NJ
225X00000X
Occupational Therapist
46TR00176500
NJ
235Z00000X
Speech-Language Pathologist
41YS00321100
NJ
Other
Enumeration date
04/13/2017
Last updated
06/22/2018
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