Organization
HUDSON THERAPY, LLC
Active
Organization
HUDSON THERAPY, LLC
Active
Other names
Therapro, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER JASON MALKIN DC (CEO)
(917) 815-2299
Entity
Organization
Contact information
Practice address
9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
(201) 869-2707
(201) 869-2717
Mailing address
9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
(201) 869-2707
(201) 869-2717
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
063647
NJ
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
22872
NJ
Other
Enumeration date
06/21/2005
Last updated
01/15/2008
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