Organization
CREST WEST LONG BRANCH PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CALABRO DO (PRESIDENT)
(732) 212-0060
Entity
Organization
Contact information
Practice address
100 STATE ROUTE 36, SUITE 2P, WEST LONG BRANCH, NJ 07764-1462
(732) 212-0060
(732) 212-0061
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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