Organization
PRO FUNCTION PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITHA VICTORIA (PRESIDENT)
(917) 459-8033
Entity
Organization
Contact information
Practice address
545 ISLAND RD, UNIT 2B-2, RAMSEY, NJ 07446-2813
(917) 459-8033
Mailing address
49 SOMERS AVE, BERGENFIELD, NJ 07621-2607
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01306300
NJ
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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