Organization
HARBOR PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA S PALMA (ADMINISTRATOR)
(856) 346-3823
Entity
Organization
Contact information
Practice address
110 HARBOR LN, SUITE B, SOMERS POINT, NJ 08244-2470
(609) 653-9476
(609) 653-9477
Mailing address
110 HARBOR LN, SUITE B, SOMERS POINT, NJ 08244-2470
(609) 653-9476
(609) 653-9477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00699400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
—
01
—
1427190685
NATIONAL PROVIDER IDENTIF
—
Enumeration date
03/28/2007
Last updated
08/22/2020
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