| Peak Performance Pt, Pa | |
|
1187 Main Ave Ste 1c, Clifton, NJ 07011-2252 | |
| (973) 400-8440 | |
| (973) 400-4124 |
| Full Name | Peak Performance Pt, Pa |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1187 Main Ave Ste 1c, Clifton, 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 |
|---|---|---|---|
| 1205365939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mary Joy Ucol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841323375 PECOS PAC ID: 9335441054 Enrollment ID: I20160112001055 |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Performance Pt, Pa 6 Highland Dr, Livingston, NJ 07039-2809 Ph: () - | Peak Performance Pt, Pa 1187 Main Ave Ste 1c, Clifton, NJ 07011-2252 Ph: (973) 400-8440 |
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