Organization
UNIVERSAL PROGRESSIVE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VARLEISHA D GIBBS MS, OTR/L (PRESIDENT)
(973) 800-6291
Entity
Organization
Contact information
Practice address
242 WASHINGTON AVE, SUITE B, NUTLEY, NJ 07110-3934
(973) 800-6291
(877) 591-5378
Mailing address
242 WASHINGTON AVE, SUITE B, NUTLEY, NJ 07110-3934
(973) 800-6291
(877) 591-5378
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR00328300
NJ
231H00000X
Audiologist
46TR00328300
NJ
Other
Enumeration date
02/25/2008
Last updated
12/03/2009
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