Organization
MT. FREEDOM PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN AIELLO P.T. (PRESIDENT)
(908) 879-8279
Entity
Organization
Contact information
Practice address
10 W HANOVER AVE, RANDOLPH, NJ 07869-4221
(908) 879-8279
(908) 879-8279
Mailing address
19 COLBY FARM RD, CHESTER, NJ 07930-2645
(908) 879-8279
(908) 879-8279
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00904300
NJ
Other
Enumeration date
05/28/2010
Last updated
10/12/2010
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