Organization
MGT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO MAURICIO TRUJILLO DPT (PHYSICAL THERAPIST)
(732) 609-1547
Entity
Organization
Contact information
Practice address
112 N BROADWAY APT E, SOUTH AMBOY, NJ 08879-1675
(732) 609-1547
Mailing address
112 N BROADWAY APT E, SOUTH AMBOY, NJ 08879-1675
(732) 609-1547
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
40QAO1259300
NJ
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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