| North Jersey Game On Physical Therapy Limited Partnership | |
|
400 State Rt 17, Suite 1, Ridgewood, NJ 07450-2010 | |
| (713) 297-7000 | |
| (713) 297-6381 |
| Full Name | North Jersey Game On Physical Therapy Limited Partnership |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 400 State Rt 17, Ridgewood, 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 |
|---|---|---|---|
| 1679876650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Christopher Dauble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477610947 PECOS PAC ID: 2769552447 Enrollment ID: I20080606000524 |
| Provider Name | Travis L Reiter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659631570 PECOS PAC ID: 3173788437 Enrollment ID: I20120712000030 |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Game On Physical Therapy Limited Partnership 400 State Rt 17, Suite 1, Ridgewood, NJ 07450-2010 Ph: (713) 297-7000 | North Jersey Game On Physical Therapy Limited Partnership 400 State Rt 17, Suite 1, Ridgewood, NJ 07450-2010 Ph: (713) 297-7000 |
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