Organization
PERTH AMBOY PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS JARAMILLO (PTA)
(732) 442-5542
Entity
Organization
Contact information
Practice address
75 SMITH ST, PERTH AMBOY, NJ 08861-4413
(732) 442-5542
Mailing address
75 SMITH ST, PERTH AMBOY, NJ 08861-4413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01488900
NJ
225200000X
Physical Therapy Assistant
Primary
40QB00291200
NJ
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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