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Organization

PEDIATRIC & ADOLESCENT THERAPY ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ARON LIPMAN OTR/L (PRESIDENT)
(973) 534-2827
Entity
Organization

Contact information

Practice address
286 N MOUNTAIN AVE, UPPER MONTCLAIR, NJ 07043-1019
(973) 534-2827
Mailing address
551 VALLEY RD STE 121, UPPER MONTCLAIR, NJ 07043-1832
(973) 534-2827

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
261QH0100X
Health Service Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013204288
NPI
Enumeration date
12/05/2017
Last updated
12/05/2017
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