# ADVANCE THERAPY ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1780959718
- **Authorized official:** ANURAG TRIPATHI OTRL (PRESIDENT)
- **Authorized official phone:** (856) 330-4360

## Contact information

- **Practice address:** 1020 N KINGS HWY, SUITE 101, CHERRY HILL, NJ 08034-1906
- **Practice address phone:** (856) 330-4360
- **Practice address fax:** (856) 330-4281
- **Mailing address:** 1020 N KINGS HWY, SUITE 101, CHERRY HILL, NJ 08034-1906
- **Mailing address phone:** (856) 330-4360
- **Mailing address fax:** (856) 330-4281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/08/2012
- **Last updated:** 05/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000 | WAITING FOR MEDICARE NUMBER | — |