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Organization
SHORE TO ADVANCE THERAPY SERVICES
Active
Organization
SHORE TO ADVANCE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SAND MPT (PHYSICAL THERAPIST)
(609) 714-0461
Entity
Organization
Contact information
Practice address
8 ELMWOOD DR, LITTLE EGG HARBOR TWP, NJ 08087-2901
(609) 713-0461
Mailing address
8 ELMWOOD DR, LITTLE EGG HARBOR TWP, NJ 08087-2901
(609) 713-0461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA917300
NJ
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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