Organization
SURMOUNT THERAPY INC
Active
Organization
SURMOUNT THERAPY INC
Active
Other names
Sprout Therapy Group - Staten Island
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED RUDIN (CHIEF EXECUTIVE OFFICER)
(732) 422-9533
Entity
Organization
Contact information
Practice address
19 PRINCESS DR, NORTH BRUNSWICK, NJ 08902-4104
(732) 422-9533
(732) 821-1508
Mailing address
19 PRINCESS DR, NORTH BRUNSWICK, NJ 08902-4104
(732) 422-9533
(732) 821-1508
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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