Organization
AT-HOME PHYSICAL THERAPY & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE F MALONEY DPT (CO-OWNER)
(757) 727-3699
Entity
Organization
Contact information
Practice address
39 WINDSOR CT, NEPTUNE CITY, NJ 07753-6747
(732) 301-4696
Mailing address
39 WINDSOR CT, NEPTUNE CITY, NJ 07753-6747
(732) 301-4696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01893100
NJ PT LICENSE
NJ
01
—
40QA01897500
NJ PT LICENSE
NJ
Enumeration date
04/07/2020
Last updated
04/07/2020
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