Organization
FIRST CLASS PHYSICAL THERAPY (NJ), PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAVEL KHROMCHENKO DPT (MEDICAL DIRECTOR)
(347) 462-4876
Entity
Organization
Contact information
Practice address
124 GREGORY AVE, PASSAIC, NJ 07055-4856
(347) 462-4876
Mailing address
11 HEDGEROW LN, MANALAPAN, NJ 07726-7905
(347) 462-4876
(347) 435-2111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00840600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00840600
NJ LICENSE NUMBER
NJ
Enumeration date
06/12/2013
Last updated
08/09/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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