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Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC
Active
Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC
Active
Parent organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Authorized official
KATHLEEN BRUSH (CREDENTIALING MANAGER)
(631) 359-5859
Entity
Organization
Contact information
Practice address
137 MAIN RD FL 2, MONTVILLE, NJ 07045-9231
(631) 359-5859
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
03/14/2018
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