Organization
PHYSICAL THERAPY DOCTOR NJ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA FOOKSON (MANAGER)
(732) 847-9922
Entity
Organization
Contact information
Practice address
719 N BEERS ST STE 2B, HOLMDEL, NJ 07733-1523
(732) 847-9922
Mailing address
719 N BEERS ST STE 2B, HOLMDEL, NJ 07733-1523
(732) 847-9922
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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