Organization
SHORE HOME PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CARLISLE D.P.T. (OWNER/PHYSICAL THERAPIST)
(732) 672-9554
Entity
Organization
Contact information
Practice address
107 S HAMPTON PL, BRICK, NJ 08724-3862
(732) 672-9554
(732) 295-1749
Mailing address
107 S HAMPTON PL, BRICK, NJ 08724-3862
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
40QA01400900
NJ
Other
Enumeration date
04/05/2016
Last updated
05/04/2016
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