Organization
EASTERN SHORE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH THOMAS DEROSA PT (PRESIDENT)
(609) 601-6140
Entity
Organization
Contact information
Practice address
1999 NEW RD, SUITE C, LINWOOD, NJ 08221-1060
(609) 601-6140
(609) 601-6141
Mailing address
PO BOX 751, NORTHFIELD, NJ 08225-0751
(609) 601-6140
(609) 601-6141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00872300
NJ
Other
Enumeration date
03/13/2007
Last updated
09/12/2022
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