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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