Organization
PHYSICAL THERAPY LAB
Active
Other names
The PT Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVE KOPPELMAN MSPT (PHYSICAL THERAPIST)
(914) 772-5586
Entity
Organization
Contact information
Practice address
210 SUMMIT AVE STE B1, MONTVALE, NJ 07645-1526
(201) 683-3500
Mailing address
11 HILTON PL, MONTVALE, NJ 07645-1206
(914) 772-5586
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
11/19/2019
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