Organization
EASY PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH P FAHY (OWNER)
(732) 925-7397
Entity
Organization
Contact information
Practice address
4302 KLIMEK PL, SOUTH AMBOY, NJ 08879-2942
(732) 925-7397
Mailing address
4302 KLIMEK PL, SOUTH AMBOY, NJ 08879-2942
(732) 925-7397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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