Organization
BABY STEPS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR A FENNELL II PT (OWNER)
(201) 857-4425
Entity
Organization
Contact information
Practice address
18 ELMWOOD AVE, HO HO KUS, NJ 07423-1530
(201) 857-4425
(801) 336-9639
Mailing address
18 ELMWOOD AVE, HO HO KUS, NJ 07423-1530
(201) 857-4425
(801) 336-9639
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
40QA00907400
NJ
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00926400
NJ
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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