Professional Orthopedic and Sports Physical Therapy of Nj, LLC

NPI #1033567631 in Montclair, New Jersey

Provider Information

NPI Number
1033567631
Entity Type
Organization
Organization Name
Professional Orthopedic and Sports Physical Therapy of Nj, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.
Primary Specialty
Physical Therapist
Enumeration Date
May 25, 2016
Last Updated
Mar 28, 2018

Practice Location

Address
691 BLOOMFIELD AVE
ZIP Code
07042-2238
Phone
(973) 893-5082

Authorized Official

Name
KATHLEEN BRUSH
Title
CREDENTIALING COORDINATOR MANAGER
Phone
(718) 819-6805

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Durable Medical Equipment & Medical Supplies
Physical Therapist

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