Organization
TIER 1 DIRECT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT GARY DIPERSIA PT, DPT, OCS, CAMT (PHYSICAL THERAPIST/OWNER)
(201) 543-4078
Entity
Organization
Contact information
Practice address
330 CONGERS AVE, NORTHVALE, NJ 07647-1607
(201) 543-4078
(201) 784-1401
Mailing address
330 CONGERS AVE, NORTHVALE, NJ 07647-1607
(201) 543-4078
(201) 784-1401
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01198100
NJ
Other
Enumeration date
04/09/2015
Last updated
04/27/2015
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