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Organization

COMMUNITY PHYSICAL THERAPISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEYDA MATA (DIRECTOR OF OPERATIONS)
(201) 461-9696
Entity
Organization

Contact information

Practice address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 461-9696
(201) 461-7165
Mailing address
1530 PALISADE AVE, FORT LEE, NJ 07024-5471
(201) 461-9696
(201) 461-7165

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NJ
2251X0800X
Orthopedic Physical Therapist
NJ
225200000X
Physical Therapy Assistant
NJ
225X00000X
Occupational Therapist
NJ
225XE1200X
Ergonomics Occupational Therapist
NJ
225XH1200X
Hand Occupational Therapist
NJ

Other

Enumeration date
02/04/2008
Last updated
02/11/2008
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