Organization
GARDEN STATE PHYSICAL THERAPY PC
Active
Organization
GARDEN STATE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER GARDUQUE RPT (OWNER DIRECTOR OF REHAB SERVICES)
(201) 998-6300
Entity
Organization
Contact information
Practice address
44 RIDGE RD, NORTH ARLINGTON, NJ 07031-6350
(201) 998-6300
(201) 998-6344
Mailing address
44 RIDGE RD, NORTH ARLINGTON, NJ 07031-6350
(201) 998-6300
(201) 998-6344
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT40QA00804200
NJ
Other
Enumeration date
05/13/2007
Last updated
10/10/2007
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