Organization
ACTIVATE PHYSICAL THERAPY LLC
Active
Other names
Activate Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE THOMAS CAPONE DPT (OWNER)
(732) 581-5389
Entity
Organization
Contact information
Practice address
19 DARREN ST, TOMS RIVER, NJ 08753-3316
(732) 581-5389
Mailing address
19 DARREN ST, TOMS RIVER, NJ 08753-3316
(732) 581-5389
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/27/2022
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