Organization
ASCEND PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE MCCLAFFERTY (GENERAL MANAGER)
(973) 744-3561
Entity
Organization
Contact information
Practice address
119 GROVE ST, # 1, MONTCLAIR, NJ 07042-4044
(973) 744-3561
Mailing address
119 GROVE ST, #1, MONTCLAIR, NJ 07042-4044
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
40QA00437900
NJ
273Y00000X
Rehabilitation Hospital Unit
Primary
40QA00437900
NJ
Other
Enumeration date
03/17/2014
Last updated
06/03/2014
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