Organization
176 RT 9 PT LLC
Active
Organization
176 RT 9 PT LLC
Active
Other names
TLC Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON LAMENDOLA (OWNER)
(718) 816-6500
Entity
Organization
Contact information
Practice address
176 ROUTE 9 STE 204, ENGLISHTOWN, NJ 07726-9220
(718) 816-6500
(718) 816-4677
Mailing address
176 RTE 9, STE# 204, ENGLISHTOWN, NJ 07726-9218
(718) 816-6500
(718) 816-4677
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01318300
NJ
Other
Enumeration date
02/05/2014
Last updated
04/30/2021
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