Organization
PRESTIGE PHYSICAL THERAPY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ALLEN ROGERS P.T. (OWNER)
(201) 921-7766
Entity
Organization
Contact information
Practice address
463 LIVINGSTON ST, SUITE 203, NORWOOD, NJ 07648-1344
(201) 921-7766
Mailing address
199 MANITO AVE, OAKLAND, NJ 07436-4013
(201) 921-7766
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00966100
NJ
Other
Enumeration date
03/22/2007
Last updated
01/31/2011
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