Organization
CORNERSTONE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DE LA FUENTE PT, DPT (PHYSICAL THERAPIST/PRESIDENT)
(732) 499-4540
Entity
Organization
Contact information
Practice address
35-B KENNEDY ROAD, TRANQUILITY, NJ 07879
(908) 684-1241
(908) 684-4039
Mailing address
P.O. BOX 106, TRANQUILITY, NJ 07879
(908) 684-1241
(908) 684-4039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00944300
NJ
225100000X
Physical Therapist
40QA01170400
NJ
Other
Enumeration date
07/20/2006
Last updated
05/20/2009
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