Active For Life Llc | |
20 W Spring St, Somerville, NJ 08876-1628 | |
(908) 303-5846 | |
Not Available |
Full Name | Active For Life Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist - Pediatrics |
Location | 20 W Spring St, Somerville, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437649183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 40QA01255300 (New Jersey) | Primary |
225X00000X | Occupational Therapist | 46TR00658900 (New Jersey) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Active For Life Llc 20 W Spring St, Somerville, NJ 08876-1628 Ph: (908) 303-5846 | Active For Life Llc 20 W Spring St, Somerville, NJ 08876-1628 Ph: (908) 303-5846 |
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