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Organization

ALLY PHYSICAL THERAPY,LLC

Active
Other names
ALLY Physical Therapy,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
LIBERTY YOUNG PT,DPT,OCS (PHYSICAL THERAPIST)
(201) 282-8236
Entity
Organization

Contact information

Practice address
2460 LEMOINE AVE STE 204, FORT LEE, NJ 07024-6210
(201) 282-8236
Mailing address
2463 8TH ST, FORT LEE, NJ 07024-3521
(201) 282-8236

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
2251N0400X
Neurology Physical Therapist
2251P0200X
Pediatric Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
07/05/2021
Last updated
07/09/2021
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