# EASTERN SHORE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1992838643
- **Authorized official:** JOSEPH THOMAS DEROSA PT (PRESIDENT)
- **Authorized official phone:** (609) 601-6140

## Contact information

- **Practice address:** 1999 NEW RD, SUITE C, LINWOOD, NJ 08221-1060
- **Practice address phone:** (609) 601-6140
- **Practice address fax:** (609) 601-6141
- **Mailing address:** PO BOX 751, NORTHFIELD, NJ 08225-0751
- **Mailing address phone:** (609) 601-6140
- **Mailing address fax:** (609) 601-6141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA00872300 | NJ | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 09/12/2022