Organization
PEDIATRIC THERAPY & YOGA OF MORRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANA KOFMAN PT (DIRECTOR/OWNER)
(973) 998-8700
Entity
Organization
Contact information
Practice address
18 ELM ST, MORRISTOWN, NJ 07960-8100
(973) 998-8700
Mailing address
18 ELM ST, MORRISTOWN, NJ 07960-8100
(973) 998-8700
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
46TR00144100
NJ
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
40QA00795300
NJ
261QR0400X
Rehabilitation Clinic/Center
46TR00426800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548676588
—
NJ
Enumeration date
05/05/2015
Last updated
05/05/2015
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