Organization
TOTAL ACTIVATION
Active
Organization
TOTAL ACTIVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NITIN K CHHODA M.S (OWNER, PHYSICAL THERAPIST)
(201) 723-7149
Entity
Organization
Contact information
Practice address
240 PROSPECT AVE, 225, HACKENSACK, NJ 07601-2511
(201) 723-7149
(206) 984-4749
Mailing address
240 PROSPECT AVE, 225, HACKENSACK, NJ 07601-2511
(201) 723-7149
(206) 984-4749
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01256200
NJ
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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