Activity First Physical Therapy and Sports Medicine
NPI #1124108782 in Eatontown, New Jersey
Provider Information
- NPI Number
- 1124108782
- Entity Type
- Organization
- Organization Name
- Activity First Physical Therapy and Sports Medicine
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Mar 11, 2014
Practice Location
- Address
- 158 WYCKOFF RD
- City
- Eatontown
- State
- New Jersey
- ZIP Code
- 07724-1840
- Phone
- (732) 544-0007
Authorized Official
- Name
- MR. KEVIN LUIS GONZALEZ, P.T.
- Title
- OWNER
- Phone
- (732) 544-0007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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