Organization
JERSEY PHYSICAL THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC SCOTT RUBENSTEIN PT,DPT (EXECUTIVE DIRECTOR)
(609) 785-5386
Entity
Organization
Contact information
Practice address
3228 STATE ROUTE 27, KENDALL PARK, NJ 08824-1445
(732) 297-0032
(732) 297-0558
Mailing address
3228 STATE ROUTE 27 STE 2A, KENDALL PARK, NJ 08824-1524
(732) 297-0032
(732) 297-0558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXXXXXX
TAX ID NUMBER
—
Enumeration date
05/09/2006
Last updated
03/15/2021
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