Organization
ADVANCED SPORTS PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GEORGE (OWNER)
(201) 772-4622
Entity
Organization
Contact information
Practice address
2 GINKGO CT, UPPER SADDLE RIVER, NJ 07458-1924
(201) 772-4622
Mailing address
2 GINKGO CT, UPPER SADDLE RIVER, NJ 07458-1924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
12/09/2021
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