Organization
JAG-ONE PHYSICAL THERAPY, LLC
Active
Other names
JAG Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTHONY GALLUCCI JR. MSPT (OWNER)
(973) 669-0078
Entity
Organization
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
(973) 669-1113
Mailing address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
(973) 669-1113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01172700
NJ
Other
Enumeration date
01/12/2007
Last updated
08/06/2019
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