Organization
PRO STAFF PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MAFFUCCI (CEO)
(973) 798-6755
Entity
Organization
Contact information
Practice address
265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
(973) 661-1207
(973) 661-1843
Mailing address
PO BOX 52403, PHOENIX, AZ 85072-2403
(973) 661-1207
(973) 661-1843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
05/14/2025
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