Organization
PROFESSIONAL PHYSICAL THERAPY & TRAINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA RENEE MARISKANISH (BILLING ADMINISTRATOR)
(973) 270-7417
Entity
Organization
Contact information
Practice address
111 KINGS ROAD, MADISON, NJ 07940
(973) 270-7417
(973) 377-1064
Mailing address
306 MAIN ST, SUITE 12, MADISON, NJ 07940-2335
(973) 270-7417
(973) 270-7417
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01016000
NJ
Other
Enumeration date
08/22/2007
Last updated
02/05/2026
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