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Organization

RIDGEWOOD PEDIATRIC THERAPY ASSOCIATES, LLC

Active
Parent organization
RIDGEWOOD PEDIATRIC THERAPY ASSOCIATES, LLC
Other names
Funtastic Gym
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIDGEWOOD PEDIATRIC THERAPY ASSOCIATES, LLC
Authorized official
ROSE SANTOS-MARTINEZ OTR (OWNER/DIRECTOR)
(201) 251-9446
Entity
Organization

Contact information

Practice address
611 NORTH MAPLE AVENUE, SUITE 7, HO HO KUS, NJ 07423
(201) 251-9446
(201) 251-0147
Mailing address
611 NORTH MAPLE AVENUE, SUITE 7, HO HO KUS, NJ 07423
(201) 251-9446
(201) 251-0147

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00153900
NJ

Other

Enumeration date
08/03/2015
Last updated
11/05/2015
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