Organization
ADVANCE THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANURAG TRIPATHI (PRESIDENT)
(856) 330-4360
Entity
Organization
Contact information
Practice address
475 HURFFVILLE CROSSKEYS RD # A3, SEWELL, NJ 08080-2320
(856) 330-4360
Mailing address
1020 KINGS HWY N STE 108, CHERRY HILL, NJ 08034-1906
(856) 330-4360
(856) 330-4281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780959718
NPI
—
Enumeration date
07/16/2019
Last updated
07/16/2019
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