Identity Physical Therapy Llc | |
593 S Livingston Avenue, Livingston, NJ 07039-0703 | |
(973) 577-5921 | |
(888) 686-2968 |
Full Name | Identity Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 593 S Livingston Avenue, Livingston, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265297642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Joseph Ruszkowski |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033721311 PECOS PAC ID: 6406275510 Enrollment ID: I20200923000785 |
Mailing Address | Practice Location Address |
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Identity Physical Therapy Llc 593 S Livingston Avenue, Livingston, NJ 07039 Ph: (973) 577-5921 | Identity Physical Therapy Llc 593 S Livingston Avenue, Livingston, NJ 07039-0703 Ph: (973) 577-5921 |
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