Organization
PROFUNCTION PHYSICAL THERAPY LLC
Active
Organization
PROFUNCTION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE TAN PT (PHYSICAL THERAPIST)
(908) 653-1776
Entity
Organization
Contact information
Practice address
30 S UNION AVE, CRANFORD, NJ 07016-2833
(908) 653-1776
(908) 653-1779
Mailing address
30 S UNION AVE, CRANFORD, NJ 07016-2833
(908) 653-1776
(908) 653-1779
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00814100
NJ
Other
Enumeration date
01/05/2007
Last updated
04/18/2012
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