Organization
LINCOLN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES K GLEASON D.C (OWNER)
(201) 444-0111
Entity
Organization
Contact information
Practice address
885 LINCOLN AVE, SUITE 1, GLEN ROCK, NJ 07452-3230
(201) 444-0111
Mailing address
885 LINCOLN AVE, SUITE 1, GLEN ROCK, NJ 07452-3230
(201) 444-0111
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
40QA01130200
NJ
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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