Organization
BRIGANTINE PHYSICAL THERAPY AND FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DANAHER (MANAGING DIRECTOR)
(302) 373-3767
Entity
Organization
Contact information
Practice address
3103 W BRIGANTINE AVE, BRIGANTINE, NJ 08203-1655
(302) 373-3767
Mailing address
312 S 26TH ST, BRIGANTINE, NJ 08203-1845
(302) 373-3767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01663000
NJ
Other
Enumeration date
11/16/2016
Last updated
12/08/2016
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