Organization
AMP PERFORMANCE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN ASTORGA P.T. (PHYSICAL THERAPIST)
(862) 251-2631
Entity
Organization
Contact information
Practice address
787 TABOR RD, MORRIS PLAINS, NJ 07950-2731
(862) 251-2631
(973) 370-0699
Mailing address
787 TABOR RD, MORRIS PLAINS, NJ 07950-2731
(862) 251-2631
(973) 370-0699
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01565200
NJ LICENSE
NJ
Enumeration date
04/21/2021
Last updated
04/21/2021
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