Organization
ORTHOPEDIC & SPINE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SAMUEL HARRIS PT, OCS (OWNER)
(856) 797-6778
Entity
Organization
Contact information
Practice address
73 N MAPLE AVE, SUITE A, MARLTON, NJ 08053-1782
(856) 797-6778
(856) 797-8011
Mailing address
73 N MAPLE AVE, SUITE A, MARLTON, NJ 08053-1782
(856) 797-6778
(856) 797-8011
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00312500
NJ
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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