Organization
THE THERAPY GYM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISHEVA FUCHS (PHYSICAL THERAPIST- MANAGING MEMBER)
(201) 357-0417
Entity
Organization
Contact information
Practice address
205 W ENGLEWOOD AVE, TEANECK, NJ 07666-3526
(201) 357-0417
Mailing address
205 W ENGLEWOOD AVE, TEANECK, NJ 07666-3526
(201) 357-0417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NJ
2251P0200X
Pediatric Physical Therapist
40QA01287500
NJ
225XP0200X
Pediatric Occupational Therapist
46TR00363600
NJ
235Z00000X
Speech-Language Pathologist
41YS00196300
NJ
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01287500
NJ
Other
Enumeration date
08/04/2011
Last updated
04/30/2014
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