# ACTIVE RECOVERY PHYSICAL REHABILITATION AND WELLNESS

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

## Provider details

- **NPI number:** 1992055586
- **Authorized official:** SHERWIN R. SANTOS PT (DIRECTOR)
- **Authorized official phone:** (201) 661-0911

## Contact information

- **Practice address:** 22 CARNATION ST, BERGENFIELD, NJ 07621-3802
- **Practice address phone:** (201) 661-0911
- **Mailing address:** 22 CARNATION ST, BERGENFIELD, NJ 07621-3802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA07859 | NJ | Yes |

## Other

- **Enumeration date:** 09/11/2012
- **Last updated:** 09/11/2012