Organization
A STEP AHEAD THERAPY SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY E BUCKLEY PT (PHYSICAL THERAPIST)
(732) 267-0852
Entity
Organization
Contact information
Practice address
1166 RIVER AVE, LAKEWOOD, NJ 08701-5600
(732) 370-0070
Mailing address
514 AZALEA DR, BRICK, NJ 08724-2732
(732) 899-0779
(732) 903-6081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00097700
NJ
Other
Enumeration date
06/17/2008
Last updated
06/02/2009
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