Organization
ACTIVE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS SPADER MS,PT (DIRECTOR)
(732) 223-6309
Entity
Organization
Contact information
Practice address
2516 HIGHWAY 35, MANASQUAN, NJ 08736-1925
(732) 223-6309
(732) 223-6409
Mailing address
2516 HIGHWAY 35, MANASQUAN, NJ 08736-1925
(732) 223-6309
(732) 223-6409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA00936200
NJ
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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