Organization
TOTAL ACTIVCORE PC
Active
Other names
Functional Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RYAN PASSE (PHYSICAL THERAPIST)
(908) 872-5133
Entity
Organization
Contact information
Practice address
719 ROUTE 206 STE 104, HILLSBOROUGH, NJ 08844-1529
(908) 262-7401
Mailing address
719 ROUTE 206 STE 104, HILLSBOROUGH, NJ 08844-1529
(908) 262-7401
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/30/2020
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