Organization
CENTER FOR SPORTS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE GANON PT (OWNER/MEDICAL PROVIDER)
(732) 567-0834
Entity
Organization
Contact information
Practice address
535 IRON BRIDGE RD STE 12, FREEHOLD, NJ 07728-5301
(732) 567-0834
Mailing address
18-8 AUGUSTA CT, FREEHOLD, NJ 07728-3632
(732) 567-0834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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