Organization
CREST WEST LONG BRANCH PHYSICAL THERAPY PA
Active
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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