Organization
LIFE PT PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAYA ENGLARD DPT (OWNER)
(732) 534-4794
Entity
Organization
Contact information
Practice address
525 ROUTE 70 STE A6, LAKEWOOD, NJ 08701-5847
(732) 534-4794
Mailing address
525 ROUTE 70 STE A6, LAKEWOOD, NJ 08701-5847
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01464000
NJ
Other
Enumeration date
05/14/2017
Last updated
05/14/2017
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