Organization
GOOD FORM PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETHEL J SARTORIO RPT (PHYSICAL THERAPIST)
(908) 783-9666
Entity
Organization
Contact information
Practice address
317 BATH AVE, UNIT 32, LONG BRANCH, NJ 07740-6168
(908) 783-9666
Mailing address
317 BATH AVE, UNIT 32, LONG BRANCH, NJ 07740-6168
(908) 783-9666
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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