Organization
PRO STAFF PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GAYLORD (CREDENTIALING MANAGER)
(678) 837-7176
Entity
Organization
Contact information
Practice address
265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
(973) 661-1207
(973) 661-1843
Mailing address
PO BOX 52403, PHOENIX, AZ 85072-2403
(973) 661-1207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00255900
NJ
Other
Enumeration date
05/06/2010
Last updated
01/07/2026
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