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Organization

CROSS KEYS PHYSICAL THERAPY SPORTS MEDICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVE ANSELMO PT (OWNER)
(856) 374-3707
Entity
Organization

Contact information

Practice address
151 FRIES MILL RD, BLDG. 600,STE. 1, TURNERSVILLE, NJ 08012-2016
(856) 374-3707
(856) 374-3709
Mailing address
151 FRIES MILL RD, BLDG. 600,STE. 1, TURNERSVILLE, NJ 08012-2016
(856) 374-3707
(856) 374-3709

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0122318
AETNA PROV. #
NJ
01
0825493000
AMERIHEALTH
NJ
01
904495
UNITED HEALTH CARE
NJ
01
P00318009
RAILROAD MCR
NJ
Enumeration date
12/11/2006
Last updated
05/28/2025
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