Organization
ACTIVE PEDIATRIC THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA DAVIDOWITZ (PRESIDENT)
(732) 367-8866
Entity
Organization
Contact information
Practice address
8 E 13TH ST, LAKEWOOD, NJ 08701-1911
(732) 367-8866
Mailing address
8 E 13TH ST, LAKEWOOD, NJ 08701-1911
(732) 367-8866
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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