Organization
CALDWELL PEDIATRIC THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CAMPBELL (OWNER)
(973) 575-3321
Entity
Organization
Contact information
Practice address
1129 BLOOMFIELD AVE STE 201, WEST CALDWELL, NJ 07006-7123
(973) 575-3321
Mailing address
1129 BLOOMFIELD AVE STE 201, WEST CALDWELL, NJ 07006-7123
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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