Organization
PREMIER CHOICE PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARVIN A OMBAJIN (OWNER)
(201) 281-5790
Entity
Organization
Contact information
Practice address
61 HUDSON ST STE 5, HACKENSACK, NJ 07601-6935
(201) 581-0778
Mailing address
61 HUDSON ST STE 5, HACKENSACK, NJ 07601-6935
(201) 581-0778
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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