Organization
ADVANCE THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANURAG TRIPATHI OTRL (PRESIDENT)
(856) 330-4360
Entity
Organization
Contact information
Practice address
1020 N KINGS HWY, SUITE 101, CHERRY HILL, NJ 08034-1906
(856) 330-4360
(856) 330-4281
Mailing address
1020 N KINGS HWY, SUITE 101, CHERRY HILL, NJ 08034-1906
(856) 330-4360
(856) 330-4281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
WAITING FOR MEDICARE NUMBER
—
Enumeration date
03/08/2012
Last updated
05/11/2012
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