Organization
FORM FIX LLC
Active
Organization
FORM FIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CRAWFORD PT, DPT (OWNER, PHYSICAL THERAPIST)
(201) 306-2532
Entity
Organization
Contact information
Practice address
173 WASHINGTON ST, MORRISTOWN, NJ 07960-3789
(201) 306-2532
Mailing address
1168 LAKE AVE APT 3, CLARK, NJ 07066-2745
(201) 306-2532
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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