Organization
PRIME PHYSICAL THERAPY & SPORTS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON CORBACIO DPT (PHYSICAL THERAPIST/OWNER)
(732) 383-8295
Entity
Organization
Contact information
Practice address
160 WHITE RD STE 104, LITTLE SILVER, NJ 07739-1167
(732) 383-8295
(732) 383-8370
Mailing address
160 WHITE RD STE 104, LITTLE SILVER, NJ 07739-1167
(732) 383-8295
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/20/2023
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