Professional Occupational & Physical Therapy, Pllc

NPI #1043905326 in Lodi, New Jersey

Provider Information

NPI Number: 1043905326
Entity Type: Organization
Organization Name: Professional Occupational & Physical Therapy, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Apr 11, 2023
Last Updated: Apr 11, 2023

Practice Location

Address: 121 S MAIN ST STE B
City: Lodi
State: New Jersey
ZIP Code: 07644-2244
Phone: (973) 313-8840

Authorized Official

Name: KATHLEEN BRUSH
Title: MANAGER OF CREDENTIALING
Phone: (631) 359-5859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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