Organization
LIFESPAN THERAPY & SPORTS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE K MARCKS PT (PARTNER)
(732) 254-0090
Entity
Organization
Contact information
Practice address
758 HIGHWAY 18, STE 106, EAST BRUNSWICK, NJ 08816-4910
(732) 254-0090
(732) 254-2292
Mailing address
PO BOX 4414, BRICK, NJ 08723-1614
(732) 785-0040
(732) 785-0265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/30/2005
Last updated
09/11/2025
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