# ADVANCED PHYSICAL THERAPY & SPORTS REHAB LLC

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

## Provider details

- **NPI number:** 1871826198
- **Authorized official:** ALBERT KHALAF (MEMBER)
- **Authorized official phone:** (201) 803-7695

## Contact information

- **Practice address:** 14-25 PLAZA RD, FAIR LAWN, NJ 07410-3546
- **Practice address phone:** (201) 797-7373
- **Practice address fax:** (201) 797-1055
- **Mailing address:** 14-25 PLAZA RD, FAIR LAWN, NJ 07410-3546
- **Mailing address phone:** (201) 797-7373
- **Mailing address fax:** (201) 797-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2009
- **Last updated:** 09/18/2009