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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