Organization
ACTIVATE PHYSICAL THERAPY LLC
Active
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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