Organization
RUTHERFORD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TALTY P.T., D.P.T. (PRESIDENT)
(201) 240-0313
Entity
Organization
Contact information
Practice address
19 RAYMOND AVE, RUTHERFORD, NJ 07070-1131
(201) 240-0313
(201) 355-2309
Mailing address
19 RAYMOND AVE, RUTHERFORD, NJ 07070-1131
(201) 240-0313
(201) 355-2309
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01251900
NJ
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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