Organization
ACTIVE PT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI MORAN (MEMBER)
(201) 746-6577
Entity
Organization
Contact information
Practice address
2 S KINDERKAMACK RD, MONTVALE, NJ 07645-2168
(201) 746-6577
Mailing address
2 S KINDERKAMACK RD, MONTVALE, NJ 07645-2168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
07/17/2015
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