Funtastic Gym | |
611 North Maple Avenue, Suite 7, Ho Ho Kus, NJ 07423 | |
(201) 251-9446 | |
(201) 251-0147 |
Full Name | Funtastic Gym |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 611 North Maple Avenue, Ho Ho Kus, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326424334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00153900 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Funtastic Gym 611 North Maple Avenue, Suite 7, Ho Ho Kus, NJ 07423 Ph: (201) 251-9446 | Funtastic Gym 611 North Maple Avenue, Suite 7, Ho Ho Kus, NJ 07423 Ph: (201) 251-9446 |
Louis Daniel Longobardo, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 197 E Franklin Tpke, Ho Ho Kus, NJ 07423 Phone: 201-762-0519 | |
Ms. Rose Marie Santos-martinez, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 611 N Maple Ave, Ste7, Ho Ho Kus, NJ 07423 Phone: 201-251-9446 |