| |
2665 Highway 516 Ste 1314, Old Bridge, NJ 08857-2300 | |
(732) 970-7882 | |
(732) 970-7883 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 2665 Highway 516 Ste 1314, Old Bridge, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033646625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (New Jersey) | Secondary |
225100000X | Physical Therapist | (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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2665 Highway 516, Suite 13/14, Old Bridge, NJ 08857-2300 Ph: (732) 970-7882 | 2665 Highway 516 Ste 1314, Old Bridge, NJ 08857-2300 Ph: (732) 970-7882 |