Organization
ACTIVE PHYSICAL THERAPY INST., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASKO L GAZIVODA DPM (PRESIDENT)
(201) 794-3223
Entity
Organization
Contact information
Practice address
67 BROADWAY, ELMWOOD PARK, NJ 07407
(201) 794-3223
(201) 794-8411
Mailing address
67 BROADWAY, ELMWOOD PARK, NJ 07407-1836
(201) 794-3223
(201) 794-8411
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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