Organization
PHYSICAL THERAPY HOME SERVICES LLC
Active
Organization
PHYSICAL THERAPY HOME SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX MENDOZA (MANAGER)
(347) 784-1617
Entity
Organization
Contact information
Practice address
714 BROADWAY STE 2, PATERSON, NJ 07514-3403
(347) 784-1617
Mailing address
714 BROADWAY STE 2, PATERSON, NJ 07514-3403
(347) 784-1617
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01488900
NJ
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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