Organization
THERAPY INTERVENTIONS AND RESOURCE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREI MONTEMAYOR MANALANG PT (OWNER/SOLE MEMBER)
(201) 266-4695
Entity
Organization
Contact information
Practice address
1777 HAMBURG TPKE, SUITE 105, WAYNE, NJ 07470-5211
(862) 248-0840
(862) 248-0841
Mailing address
1777 HAMBURG TPKE, SUITE 105, WAYNE, NJ 07470-5211
(862) 248-0840
(862) 248-0841
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00694800
NJ
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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