Organization
LIGHTPORT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DE HOYOS DPT (DR. OF PHYSICAL THERAPY)
(973) 228-0072
Entity
Organization
Contact information
Practice address
355 BLOOMFIELD AVE, CALDWELL, NJ 07006-5118
(973) 228-0072
(973) 228-2311
Mailing address
355 BLOOMFIELD AVE, CALDWELL, NJ 07006-5118
(973) 228-0072
(073) 228-2311
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01237600
NJ
Other
Enumeration date
03/22/2016
Last updated
07/23/2020
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