Organization
MAPLE LEAF PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK T EGAN DPT (PRESIDENT)
(609) 417-1312
Entity
Organization
Contact information
Practice address
257 MESSINA AVE, HAMMONTON, NJ 08037-1327
(609) 561-1974
Mailing address
257 MESSINA AVE, HAMMONTON, NJ 08037-1327
(609) 561-1974
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
10/17/2025
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