# ADVANCE THERAPY SERVICES, INC

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

## Provider details

- **NPI number:** 1730358839
- **Authorized official:** MR. ANURAG TRIPATHI OTR/L (PRESIDENT/CEO)
- **Authorized official phone:** (856) 642-4028

## Contact information

- **Practice address:** 309 FELLOWSHIP RD, SUITE 200, MOUNT LAUREL, NJ 08054-1234
- **Practice address phone:** (856) 642-4028
- **Practice address fax:** (856) 267-5025
- **Mailing address:** 309 FELLOWSHIP RD, SUITE 200, MOUNT LAUREL, NJ 08054-1234
- **Mailing address phone:** (856) 642-4028
- **Mailing address fax:** (856) 267-5025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 09/01/2009