Organization
SPECTRUM PHYSICAL THERAPY AND ATHLETIC TRAINING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY R. ZACCCONE PT, DPT, MSPT, SCS (PRESIDENT)
(201) 937-3600
Entity
Organization
Contact information
Practice address
968 RIVER RD, 2ND FLOOR, EDGEWATER, NJ 07020-2237
(201) 937-3600
(201) 731-5192
Mailing address
1203 RIVER RD APT 5K, EDGEWATER, NJ 07020-1442
(201) 937-3600
(201) 731-5192
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
NJ40QA01107700
NJ
Other
Enumeration date
08/20/2007
Last updated
08/26/2008
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